Sipes S L, Newton M, Lurain J R
Obstet Gynecol. 1985 Dec;66(6):832-5.
Chylous ascites is an unusual condition with many causes. Two cases are presented in which it appeared to be related to whole pelvis irradiation in one patient for carcinoma of the vagina and in another for carcinoma of the vulva. The diagnosis is made by paracentesis and analysis of the fluid. The underlying disease usually requires identification by exploratory laparotomy. Although a malignant process is the most common cause, the only findings in the authors' cases were widespread radiation changes in the intestine. After diagnosis treatment by low-fat diet with medium-chain triglyceride supplements resulted in disappearance of chylous ascites.
乳糜性腹水是一种病因多样的罕见病症。本文报告了两例病例，其中一例是一名因阴道癌接受全盆腔照射的患者出现乳糜性腹水，另一例是一名因外阴癌接受全盆腔照射的患者出现该病症。通过腹腔穿刺及腹水分析进行诊断。潜在疾病通常需要通过剖腹探查来确定。虽然恶性病变是最常见的病因，但在作者的病例中，唯一的发现是肠道广泛的放射性改变。确诊后，采用低脂饮食并补充中链甘油三酯进行治疗，乳糜性腹水消失。
