Tratamiento de quilotórax y quiloascitis refractaria en paciente cirrótico. Caso clínico
Rev. méd. Chile
;
148(8)ago. 2020.
Artigo
em Espanhol
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Ascite Quilosa
/
Quilotórax
/
Derivação Portossistêmica Transjugular Intra-Hepática
/
Hipertensão Portal
Limite:
Idoso
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2020
Tipo de documento:
Artigo
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