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Tratamiento de quilotórax y quiloascitis refractaria en paciente cirrótico. Caso clínico
Jofré, Paulina; Grassi, Bruno; Benítez, Carlos.
  • Jofré, Paulina; s.af
  • Grassi, Bruno; s.af
  • Benítez, Carlos; s.af
Rev. méd. Chile ; 148(8)ago. 2020.
Article in Spanish | LILACS | ID: biblio-1389288
ABSTRACT
Chylous Ascites (CA) and chylothorax (CTx) are associated with obstruction, disruption or insufficiency of the lymphatic system. We report a 68-year-old male, with a history of alcoholic cirrhosis, who had recurrent events of CTx and CA. After a complete study, no other etiologies other than portal hypertension were found. Therapy with diuretics, nothing per mouth, parenteral feeding plus octreotide did not relieve symptoms. A transjugular intrahepatic portosystemic shunt (TIPS) was successfully placed and pleural effusion subsided. This case shows that CA and CTx can be caused by portal hypertension and they may subside employing a multimodal management strategy.
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Full text: Available Index: LILACS (Americas) Main subject: Chylous Ascites / Chylothorax / Portasystemic Shunt, Transjugular Intrahepatic / Hypertension, Portal Limits: Aged / Humans / Male Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2020 Type: Article

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Full text: Available Index: LILACS (Americas) Main subject: Chylous Ascites / Chylothorax / Portasystemic Shunt, Transjugular Intrahepatic / Hypertension, Portal Limits: Aged / Humans / Male Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2020 Type: Article