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Chylous Ascites in a Patient Undergoing Continuous Ambulatory Peritoneal Dialysis / 대한신장학회잡지
Korean Journal of Nephrology ; : 649-652, 1998.
Article in Korean | WPRIM | ID: wpr-212779
ABSTRACT
Chylous ascites is extravasation of lymphatic fluid and retention in the peritoneal cavity due to traurna or obstruction of the lymphatic system. Chylous ascites is very rare complication of Continuous Ambulatory Peritoneal Dialysis (CAPD) and is associated with trauma to the lymphatics during catheter insertion in the early stage of CAPD and repeated mild trauma to the lyrnphatics during longterm dialysis. Chylous ascites in the CAPD is suspected when the drained peritoneal fluid is milky white and confirmed by demonstration of the specific components of chyle, such as elevated triglyceride and low cholesterol than plasma and should be differentiated from pseudochyle and bacterial peritonitis. We report a case of chylous ascites in a patient undergoing CAPD at 2 months later of initiation of CAPD, which was not improved by conservative management. So CAPD catheter was removed and renal replacement therapy was changed to hemodialysis.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Peritoneal Cavity / Peritonitis / Plasma / Triglycerides / Ascitic Fluid / Cholesterol / Chyle / Chylous Ascites / Renal Dialysis / Peritoneal Dialysis, Continuous Ambulatory Limits: Humans Language: Korean Journal: Korean Journal of Nephrology Year: 1998 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Peritoneal Cavity / Peritonitis / Plasma / Triglycerides / Ascitic Fluid / Cholesterol / Chyle / Chylous Ascites / Renal Dialysis / Peritoneal Dialysis, Continuous Ambulatory Limits: Humans Language: Korean Journal: Korean Journal of Nephrology Year: 1998 Type: Article