Tratamiento de quilotórax y quiloascitis refractaria en paciente cirrótico. Caso clínico
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.
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
Similar
MEDLINE
...
LILACS
LIS