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Idiopathic chylous ascites simulating acute appendicitis: A case report and literature review

• A rare case of idiopathic chylous ascites in a young female is reported. The management and outcome with long term follow up were discussed. • The variable nature of presentation of chylous ascites necessitates high index of suspicion. Diagnosis predominately requires abdominal paracentesis and tr...

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Detalles Bibliográficos
Autores principales: Ul Ain, Qurat, Bashir, Yasir, Johnston, Sean
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5121156/
https://www.ncbi.nlm.nih.gov/pubmed/27866036
http://dx.doi.org/10.1016/j.ijscr.2016.10.059
Descripción
Sumario:• A rare case of idiopathic chylous ascites in a young female is reported. The management and outcome with long term follow up were discussed. • The variable nature of presentation of chylous ascites necessitates high index of suspicion. Diagnosis predominately requires abdominal paracentesis and triglyceride levels in the ascetic fluid obtained. • Management of idiopathic chylous ascites is mostly conservative, once the diagnosis is established. The treatment may include low fat diet and occasional somatostatin use. • Further research is mandatory as there is a significant rise in reported cases with no standardized guidelines for management.