Tratamiento de quilotórax y quiloascitis refractaria en paciente cirrótico. Caso clínico
Rev. méd. Chile
; 148(8)ago. 2020.
Article
Dans Es
| LILACS
| ID: biblio-1389288
Responsable en Bibliothèque :
BR1.1
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.
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Ascite chyleuse
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Chylothorax
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Anastomose portosystémique intrahépatique par voie transjugulaire
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Hypertension portale
Limites du sujet:
Aged
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Humans
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Male
langue:
Es
Texte intégral:
Rev. méd. Chile
Thème du journal:
MEDICINA
Année:
2020
Type:
Article