2,695 results match your criteria Chylous Ascites


Primary chylopericardium treated by surgery: Report of two cases.

J Cardiol Cases 2011 Apr 13;3(2):e106-e110. Epub 2011 Jan 13.

Division of Cardiovascular Surgery, Okinawa Chubu Hospital, Okinawa, Japan.

Primary chylopericardium is a rare condition. The etiology and the treatment remain unclear. We report two cases of primary chylopericardium successfully treated by surgery. Read More

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Lymphatic interventions for isolated, iatrogenic chylous ascites: A multi-institution experience.

Eur J Radiol 2018 Dec 25;109:41-47. Epub 2018 Oct 25.

Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, United states.

Objectives: Lymphangiography and thoracic duct embolization are established treatments for post-surgical chylothorax. There is only limited experience in their application to treat post-surgical chylous ascites. A multi-center analysis of the technical and clinical success of lymphangiography and lymphatic interventions in the treatment of isolated, iatrogenic chylous ascites is reported. Read More

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December 2018
1 Read

Chylous ascites and podocytopathy as the presentation of childhood lupus-an unusual occurrence.

Lupus 2018 Dec 8:961203318817831. Epub 2018 Dec 8.

1 Allergy Immunology Unit, Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Systemic lupus erythematosus (SLE) is an autoimmune disorder that can affect virtually any organ. Chylous ascites as a presenting manifestation of SLE has been described in a handful of cases in adults. However, to the best of our knowledge this presentation has never been reported in the pediatric age group. Read More

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December 2018

Chylous leak: an unexpected complication after microsurgical breast reconstruction.

Gland Surg 2018 Oct;7(5):496-498

Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, Glasgow, UK.

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October 2018

The way to display the chylous tubes and to prevent chylous leakage in laparoscopic para-aortic lymphadenectomy.

Gynecol Oncol 2018 Nov 29. Epub 2018 Nov 29.

Department of Gynecology, The Obstetrics and Gynecology Hospital of Fudan University, 128 Shen-Yang Road, Shanghai 200090, PR China. Electronic address:

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November 2018

Chylothorax after hepatectomy: a case report.

J Med Case Rep 2018 Nov 26;12(1):347. Epub 2018 Nov 26.

Department of Surgery, Yachiyo Hospital, 2-2-7, Sumiyoshi-cho, Anjo-shi, Aichi, 446-8510, Japan.

Background: Chylothorax is the accumulation of chyle within the pleural space. Chylothorax can occur as a complication after multiple different types of surgery, most frequently after thoracic surgery, albeit with an incidence rate of less than 1%. Chylothorax after abdominal surgery is extremely rare, and there are only a few case reports. Read More

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November 2018
1 Read

Prophylactic ligation of the thoracic duct in the prevention of chylothorax after esophagectomy.

Rozhl Chir 2018 ;97(7):328-334

Introduction: Chylothorax after esophageal resection is an uncommon but serious complication with a reported incidence of 1-10%. It occurs after the injury of the thoracic duct or its tributaries. Chylothorax may cause an overall loss of several liters per day and may lead to dehydration, malnutrition and immunosuppression. Read More

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January 2018
1 Read

Milky Mesentery: Acute Abdomen with Chylous Ascites.

Indian Pediatr 2018 Oct;55(10):909-910

Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, Shahdara, Delhi, India.

Background: Clinical presentations of intestinal lymphangiectasia include pitting edema, chylous ascites, pleural effusion, diarrhea, malabsorption and intestinal obstruction.

Case Characteristics: An 8-year-old male child presented to the emergency department with clinical features of peritonitis, raising suspicion of appendicular or small bowel perforation.

Intervention/outcome: Diagnosis of chylous ascites with primary intestinal lymphangiectasia made on laparotomy. Read More

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October 2018
4 Reads

An unusual case of chylothorax.

Respir Med Case Rep 2018 25;25:318-322. Epub 2018 Oct 25.

Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida, College of Medicine, Gainesville, FL, United States.

Pleural effusions occur in up to 70% of cases of malignant pleural mesothelioma (MPM). However, MPM rarely presents as a chylous effusion making it a diagnostic challenge. There are only six reported cases to date. Read More

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October 2018
6 Reads

Cloudy Dialysate as the Initial Presentation for Lymphoma.

Case Rep Nephrol 2018 9;2018:2192043. Epub 2018 Oct 9.

Division of Nephrology, Department of Medicine, Ottawa Hospital, Ottawa, ON, Canada.

Turbid dialysate in a patient on peritoneal dialysis is usually due to peritonitis and almost all these patients are started on empirical antibiotics pending cultures. However, in few of them with culture negative fluid, this could represent other etiologies like chyle, which requires more intensive investigations, and analysis of fluid itself reveals some rare diagnosis. We present one such report of chylous ascites with prompt investigation leading to a diagnosis of malignancy in a peritoneal dialysis patient. Read More

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October 2018

"Chylous Ascites: Complication of laparoscopic donor nephrectomy. Case Report and review of literature."

Transplantation 2018 Nov 5. Epub 2018 Nov 5.

Department of Renal Transplant Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Background: Chylous ascites (CA) is an extremely rare complication after laparoscopic donor nephrectomy (LDN). It can increase the hospital stay, morbidity in postoperative period and thus negating the benefits of laparoscopic surgery. Most of the cases were managed conservatively, but surgical intervention may be occasionally required. Read More

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November 2018
3 Reads

Outcome after surgery for solid pseudopapillary pancreatic tumors in children: Report from the TREP project-Italian Rare Tumors Study Group.

Pediatr Blood Cancer 2018 Oct 26:e27519. Epub 2018 Oct 26.

Department of Pediatric Surgery, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Background: Solid pseudopapillary pancreatic tumors (SPPT) are an extremely rare entity in pediatric patients. Even if the role of radical surgical resection as primary treatment is well established, data about follow-up after pancreatic resection in children are scant.

Methods: A retrospective review of data from the Italian Pediatric Rare Tumor Registry (TREP) was performed. Read More

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October 2018
7 Reads

Retroperitoneal exploration with Vicryl mesh and fibrin tissue sealant for refractory chylous ascites.

J Pediatr Surg 2018 Oct 2. Epub 2018 Oct 2.

Department of Surgery, Division of Pediatric Surgery, University of Michigan, 1540 E Hospital Dr. SPC 4217, Ann Arbor, MI 48109, United States. Electronic address:

Background: Congenital chylous ascites poses a significant challenge in neonatal care, and often results in prolonged, complex hospital stays and increased mortality. Few effective options exist in refractory cases.

Methods: Patients aged 0 to 12 months with refractory chylous ascites underwent retroperitoneal exploration after medical treatment and minimally invasive therapies were unsuccessful. Read More

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October 2018

Successful Sirolimus Treatment of Lymphangioleiomyomatosis in a Hepatitis B Virus Carrier.

Intern Med 2018 Oct 17. Epub 2018 Oct 17.

Clinical Research Center, National Hospital Organization Kinki-Chuo Chest Medical Center, Japan.

A 34-year-old woman experiencing shortness of breath was referred to our hospital. The patient was diagnosed with sporadic lymphangioleiomyomatosis based on the observation of bilateral diffuse multiple thin-walled cysts on computed tomography of the chest, chylous effusion, elevated serum vascular endothelial growth factor-D levels and transbronchial biopsy findings. This patient was a hepatitis B virus (HBV) carrier. Read More

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October 2018
3 Reads

Ideal treatment strategy for chylous mesenteric cyst: a case report.

J Med Case Rep 2018 Oct 17;12(1):317. Epub 2018 Oct 17.

1st Propedeutic Surgical Unit, AHEPA University Hospital of Thessaloniki, St Kiriakidi 1, 54621, Thessaloniki, Greece.

Background: A mesenteric chylous cyst is defined as a cyst occurring in the mesentery of the gastrointestinal tract anywhere from the duodenum to the rectum and is diagnosed most often during the fifth decade of life.

Case Presentation: In our case report, we describe a case of 38-year-old Greek woman who presented at our Emergency Department complaining of abdominal pain without any other symptoms. Her medical and family histories were clear and she had never had any abdominal interventions. Read More

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October 2018
6 Reads

High mortality in peritonitis due to Mycobacterium avium complex: retrospective study and systematic literature review.

Infect Dis (Lond) 2018 Oct 14:1-10. Epub 2018 Oct 14.

a Infectious Diseases Department , CHU de Caen , Caen , France.

Background: Mycobacterium avium complex (MAC) infection is often disseminated and mainly involves lymph nodes, spleen, liver or bone marrow. Peritonitis due to MAC infection (PMAC) is a very uncommon manifestation.

Methods: In this report, after describing the case of the only PMAC infection in our 10-year retrospective study, which occurred in an AIDS patient who was non-adherent to highly active antiretroviral therapy (HAART), we performed a systematic literature review of documented bacteriological PMAC. Read More

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October 2018
1 Read

Microsurgical lymphaticovenular anastomosis for refractory chylous ascites following para-aortic lymph nodes dissection in a patient with tubal cancer.

Gynecol Oncol Rep 2018 Nov 1;26:53-55. Epub 2018 Oct 1.

Department of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara Nishihara, Okinawa 903-0215, Japan.

•Postoperative chylous ascites is an important clinical issue in surgery for gynecological malignancy.•Our patient with refractory chylous ascites after surgery for tubal cancer.•She received great benefit from the microsurgical lymphaticovenular anastomosis. Read More

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November 2018
1 Read

Lymphaticovenous bypass of the thoracic duct for the treatment of chylous leak in central conducting lymphatic anomalies.

J Pediatr Surg 2018 Sep 9. Epub 2018 Sep 9.

Department of Surgery, Boston Children's Hospital and Harvard Medical School, Boston, MA 02115; Vascular Anomalies Center, Boston Children's Hospital, Boston, MA 02115.

Background: Central conducting lymphatic anomalies (CCLA) may cause chylous leaks and protein-losing enteropathy (PLE) owing to dysfunction of the central lymphatic channels. Most of the treatment strategies for these conditions are palliative and provide transient improvement.

Methods: We treated 14 patients with intractable chylous leak and/or PLE using a novel technique of lymphaticovenous bypass of the terminal portion of the thoracic duct. Read More

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September 2018
8 Reads

Refractory chylous pleural effusion with systemic lupus erythematosus : Surgical treatment when steroid/immunosuppressant resistant.

Z Rheumatol 2018 Oct 1. Epub 2018 Oct 1.

Department of Respiratory Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No. 1 Shuaifuyuan, 100730, Beijing, Dongcheng District, China.

We analyzed four cases of systemic lupus erythematosus (SLE) with chylous pleural effusion treated in our hospital from June 2013 to May 2017. The three females and one male ranged in age from 22 to 33 years. The length of disease course was 20 to 120 months. Read More

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October 2018
2 Reads

Laparoscopic Management of Chylous Leakage Using a Direct Lymph Node Injection with Methylene Blue as a Leakage Point Location Strategy in a Patient with Retroperitoneal Extragonadal Seminoma.

J Endourol Case Rep 2018 20;4(1):149-151. Epub 2018 Sep 20.

Department of Urology, Fundació Puigvert, Universitat Autònoma de Barcelona, Barcelona, Spain.

The first-line treatment in cases of chylous leakage is conservative, and operation should be considered only in patients who fail to respond to this treatment. The main clinical concern is the difficulty of intraoperative localization of the site of leakage that can affect surgical outcome. A 33-year-old man presented with a 4-month history of abdominal pain and weight loss. Read More

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September 2018
1 Read

Chylous Ascites in an Infant with Thanatophoric Dysplasia Type I with FGFR3 Mutation Surviving Five Months.

Fetal Pediatr Pathol 2018 Sep 25:1-9. Epub 2018 Sep 25.

a Department of Pediatrics , Pusan National University Children's Hospital , Yangsan , Korea.

Background: Thanatophoric dysplasia (TD) results from sporadic de novo mutations in the FGFR3 gene. Upon confirming intrauterine diagnosis of this perinatal disease, pregnancy termination is recommended. There is limited information on the natural history of longer-term survivors with type 1 TD. Read More

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September 2018
2 Reads

[Complications after laparoscopic Ladd operation for intestinal malrotation in neonates].

Zhejiang Da Xue Xue Bao Yi Xue Ban 2018 May;47(3):278-282

Department of Neonatal Surgery, the Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310052, China.

Objective: To analyze complications after laparoscopic Ladd operation for intestinal malrotation, related causes and possible solutions.

Methods: Clinical data of 81 neonates who underwent laparoscopic Ladd operations for intestinal malrotation in the Children's Hospital, Zhejiang University School of Medicine between January 2015 and January 2018 were reviewed. The abdominal complications and findings during operation and reoperation were analyzed. Read More

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May 2018
1 Read

The role of oral oil administration in displaying the chylous tubes and preventing chylous leakage in laparoscopic para-aortic lymphadenectomy.

J Surg Oncol 2018 Nov 12;118(6):991-996. Epub 2018 Sep 12.

Department of Gynecology, The Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.

Background And Objectives: This study is aimed to investigate the possibility of preoperative oral oil administration in displaying the chylous tubes and preventing chylous leakage in laparoscopic para-aortic lymphadenectomy.

Materials And Methods: In this retrospective nonrandomized study, of the 30 patients with gynecological malignancies who had indications for laparoscopic para-aortic lymphadenectomy up to renal vessels, 15 were administered preoperative oral oil (oil a administration) (control group) at our hospital between September 2017 and June 2018. The chylous tube displaying rates, incidences of chylous leakage, and other perioperative data of the two groups were compared. Read More

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November 2018

Yellow nail syndrome with chylothorax after coronary artery bypass grafting.

J Cardiothorac Surg 2018 Sep 11;13(1):93. Epub 2018 Sep 11.

Department of Cardiothoracic Surgery, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA, 94305, USA.

Background: Yellow nail syndrome is a rare condition considered secondary to functional anomalies of lymphatic drainage. Yellow nail syndrome is diagnosed through the triad of intrathoracic findings (30% being pleural effusions), nail discoloration, and lymphedema, with any two features sufficient for diagnosis. We report the second case of post-operative yellow nail syndrome. Read More

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September 2018
4 Reads

Idiopathic Chylous Ascites in Pregnancy: A Case Report.

Iran J Public Health 2018 Jul;47(7):1034-1036

Dept. of Obstetrics, Xiamen Maternity and Child Health Care Hospital, Xiamen 361003, China.

Idiopathic chylous ascites in pregnancy is extremely rare. Here, we report a 24-yr-old patient with idiopathic chylous ascites in pregnancy. The patient was hospitalized in Xiamen Maternity and Child Health Care Hospital, Xiamen China in 2014 due to G1P0 intrauterine pregnancy 39+2 week, LOA, and time of labor. Read More

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July 2018
3 Reads

Recurrent chylous effusions and venous thrombosis: Uncommon presentation of a common condition.

Intractable Rare Dis Res 2018 Aug;7(3):200-203

Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.

Spontaneous bilateral chylothorax and chylous ascites rarely develop in conjunction with systemic venous thrombosis, and the most common cause of non-traumatic chylous effusion is a malignancy. A 23-year-old immunocompetent female presented with a fever of 5 months' duration associated with progressive shortness of breath and abdominal distension. Evaluation revealed bilateral chylothorax, chylous ascites, and multiple venous thrombosis. Read More

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August 2018
10 Reads

Underlying etiology determines the outcome in atraumatic chylous ascites.

Intractable Rare Dis Res 2018 Aug;7(3):177-181

Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Chylous ascites is an uncommon entity and infectious etiology is the most common cause in developing countries. However, recently, whether there is any change in trend of etiologies in developing countries is not known. In this study, a retrospective analysis of the data of cases of atraumatic chylous ascites was conducted. Read More

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The Feasibility of Mesenteric Intranodal Lymphangiography: Its Clinical Application for Refractory Postoperative Chylous Ascites.

J Vasc Interv Radiol 2018 09;29(9):1290-1292

Department of Radiology, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, Seoul 110-744, Republic of Korea.

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September 2018
5 Reads

A female infant with phacomatosis pigmentovascularis and congenital chylous ascites: A case report.

Medicine (Baltimore) 2018 Aug;97(34):e12012

Department of Urology Surgery, Beijing Children's Hospital, National Center for Children's Health.

Rationale: Phacomatosis pigmentovascularis (PPV) is a rare syndrome characterized by capillary malformation and pigmentary nevus. Congenital chylous ascites (CCA) is also a rare disease that results from maldevelopment of the lymphatic system. We report a case of a 5-month-old girl, who had both PPV and CCA. Read More

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August 2018
1 Read

[Feasibility and application value of autonomic nerve-preserving D3 radical resection for right-sided colon cancer under laparoscope].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Aug;21(8):908-912

Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Province Hospital of Traditional Chinese Medicine), Guangzhou 510120, China.

Objective: To explore the feasibility and application value of the preservation of vegetative nervous functions in radical resection for right-sided colon cancer.

Methods: Clinical data of 55 cases with right-sided colon cancer undergoing laparoscopic D3+ complete mesocolic excision (CME) radical resection from January 2016 to July 2017 at Department of Gastrointestinal Surgery of Guangdong Province Hospital of Traditional Chinese Medicine were retrospectively analyzed. Exclusion criteria included emergency surgery for various reasons, intestinal obstruction or perforation, distant metastasis or locally advanced cancer, previous history of abdominal surgery and preoperative neoadjuvant chemoradiotherapy. Read More

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August 2018
1 Read

Early chest tube removal after thoracoscopic lobectomy with the aid of an additional thin tube: a prospective multi-institutional study.

Gen Thorac Cardiovasc Surg 2018 Dec 21;66(12):723-730. Epub 2018 Aug 21.

Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.

Objectives: There is no evidence concerning the appropriate drainage volume for indicating chest tube removal after pulmonary lobectomy. A prospective multi-institutional cohort study was designed to elucidate the safety of early chest tube removal after thoracoscopic lobectomy.

Methods: Between April 2009 and November 2011, 310 patients with suspected or histologically documented lung cancer were screened. Read More

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December 2018
1 Read

[Minimal fat renalangiomyolipoma with multiple lymph nodes enlargement and postoperative refractory lymphatic fistula: a case report and literature review].

Beijing Da Xue Xue Bao Yi Xue Ban 2018 Aug;50(4):717-721

Department of Urology, Peking University People's Hospital, Beijing 100044, China.

Renal angiomyolipoma (AML) is a common benign tumor in the urinary system, mainly composed of adipose tissue, blood vessels and muscle tissue. Renal AML is sporadic in most of patients, while a few are associated with tuberous sclerosis. Classical renal AML occurs predominantly in middle-aged females. Read More

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August 2018
16 Reads

Ultrasound-guided intranodal lymphangiography with lipiodol for treatment of chylous ascites following surgery for ovarian cancer: A case report.

Mol Clin Oncol 2018 Aug 8;9(2):178-180. Epub 2018 Jun 8.

Department of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Shimane 693-8501, Japan.

Although lymphadenectomy for gynecological cancer is often associated with chylous leakage, the proper management of this complication remains a matter of debate. In the present study a case of chylous leakage successfully treated with lipiodol lymphangiography is described. A 33-year-old patient with ovarian cancer experienced chylous leakage following total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and pelvic and para-aortic lymphadenectomy. Read More

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August 2018
2 Reads

Chylous-Related Complications Following Surgical Management of Clavicular Fractures: A Report of Two Cases.

JBJS Case Connect 2018 Jul-Sep;8(3):e61

Departments of Orthopaedics (C.D., M.D., and H.M.), and Radiology (D.O'N. and M.L.), Beaumont Hospital, Dublin, Ireland.

Case: We treated 2 patients with chylous-related complications following open reduction and internal fixation (ORIF) of the clavicle. These complications were of unknown etiology; 1 was treated with percutaneous injection of a sclerosing agent, while the other was treated with ligation of the thoracic duct.

Conclusion: A chyle leak is more commonly seen with upper gastrointestinal, thoracic, and head and neck surgery. Read More

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Intranodal lymphangiography in the treatment of chylous ascites.

Radiologia 2018 Aug 4. Epub 2018 Aug 4.

Servicio de Radiodiagnóstico, Hospital Universitario Doctor Peset, Valencia, España.

Chylous ascites is the presence of lymph from the thorax or bowel in the abdominal cavity. In Western countries, the most common causes of chylous ascites in adults are tumors, cirrhosis, and postoperative leakage, whereas the most common causes in children are congenital lymphatic anomalies and trauma. By contrast, in developing countries, infectious causes are responsible for most cases of chylous ascites. Read More

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August 2018
9 Reads

Primary aortoduodenal fistula: A case report and review of literature.

Int J Surg Case Rep 2018 26;50:80-83. Epub 2018 Jul 26.

Department of General Surgery, Okinawa Prefectural Chubu Hospital, Japan.

Background: Primary aortoduodenal fistula (PADF) is an abnormal connection between the aorta and the duodenum and is a life-threatening condition. It is a very rare cause of gastrointestinal bleeding, which often leads to delay in its diagnosis. Prompt diagnosis and surgical treatment are crucial to improve the outcome of patients with PADF. Read More

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July 2018
14 Reads

Early Identification of Primary Hypothyroidism in Neonates Exposed to Intralymphatic Iodinated Contrast: A Case Series.

J Clin Endocrinol Metab 2018 Oct;103(10):3585-3588

Division of Endocrinology, Boston Children's Hospital, Boston, Massachusetts.

Context: In neonates, iatrogenic hypothyroidism can result from topical or IV iodine exposure. Data on intralymphatic iodine exposure, risk factors for disease severity, and timing of hypothyroidism are limited.

Case Descriptions: We report 4 cases of premature neonates with previously normal thyroid function tests (TFTs) who developed hypothyroidism after intralymphatic iodinated contrast. Read More

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October 2018
3 Reads
6.210 Impact Factor

Accuracy of calprotectin using the Quantum Blue Reader for the diagnosis of spontaneous bacterial peritonitis in liver cirrhosis.

Hepatol Res 2018 Aug 7. Epub 2018 Aug 7.

Department of Hepatology, University Hospital of Besançon, Besançon, France.

Aim: We aimed to evaluate the accuracy of the dosage of calprotectin in ascitic fluid (AF) using the Quantum Blue assay, for the prompt diagnosis of spontaneous bacterial peritonitis (SBP).

Methods: We prospectively collected 236 AF samples from 119 cirrhotic patients hospitalized in two French centers between May 2016 and May 2017. Bloody and chylous/cloudy AF, and secondary peritonitis were excluded. Read More

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August 2018
2 Reads

Chylous ascites, anti-interferon-gamma autoantibody, and angioimmunoblastic T-cell lymphoma: a rare but intriguing connection over Mycobacterium avium.

Med Microbiol Immunol 2018 Aug 6. Epub 2018 Aug 6.

Department of Hematology, Shiga University of Medical Science, Otsu, Shiga, Japan.

We report a case of non-AIDS (acquired immunodeficiency syndrome), non-CAPD (Continuous Ambulatory Peritoneal Dialysis), non-cirrhotic, Mycobacterium avium peritonitis, which is a rare form of mycobacterial infection. A 66-year-old Japanese man who had been treated previously for angioimmunoblastic T-cell lymphoma (AITL), had developed disseminated M. avium infection. Read More

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August 2018
1 Read

Comparison of postoperative chylothorax in infants and children with trisomy 21 and without dysmorphic syndrome: Is there a difference in clinical outcome?

J Pediatr Surg 2018 Jul 6. Epub 2018 Jul 6.

Department of Neonatology and Pediatric Intensive Care, University Children's Hospital Zurich, Children's Research Center Division, Zurich, Switzerland. Electronic address:

Introduction: Children with trisomy 21 are prone to postoperative chylothorax, caused by malformation of the lymphatic system, after cardiac surgery. The clinical course of patients diagnosed with postoperative chylothorax and trisomy 21 was compared to that of patients without dysmorphic syndromes. Additionally, differences between the groups in composition, amount, and duration of chyle were analyzed to better understand chylothorax in patients with trisomy 21. Read More

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Pulmonary manifestations in tuberous sclerosis complex.

Am J Med Genet C Semin Med Genet 2018 Sep 28;178(3):326-337. Epub 2018 Jul 28.

Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.

Tuberous sclerosis complex has manifestations in many organ systems, including brain, heart, kidney, skin, and lung. The primary manifestations in the lung are lymphangioleiomyomatosis (LAM) and multifocal micronodular pneumocyte hyperplasia (MMPH). LAM affects almost exclusively women, and causes cystic lung destruction, pneumothorax, and chylous pleural effusions. Read More

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September 2018
1 Read

Transjugular Intrahepatic Portosystemic Shunt (TIPS): Pathophysiologic Basics, Actual Indications and Results with Review of the Literature.

Rofo 2018 08 25;190(8):701-711. Epub 2018 Jul 25.

Department of Radiology, Medical School & Hospital, University of Bonn, Germany.

Background: Transjugular intrahepatic portosystemic shunt (TIPS) is a non-selective portosystemic shunt created using endovascular techniques. During recent years technical improvements and new insights into pathophysiology have modified indications for TIPS placement. In this article we therefore want to discuss current knowledge. Read More

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August 2018
3 Reads

[Thoracic Lymphatic Pathologies with Chylous Leakages - Imaging and Interventional Treatment].

Rofo 2018 08 25;190(8):674-679. Epub 2018 Jul 25.

Radiology, University Hospital Bonn, Germany.

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August 2018
1 Read

[Possible role of Lercanidipine in Chiloperitoneum occurrence in CAPD: a case-report].

G Ital Nefrol 2018 Jul;35(4)

Nephrology and Dialysis Unit, "Pugliese-Ciaccio" Hospital of Catanzaro, Italy.

Chylous ascites is rarely observed in patients undergoing peritoneal dialysis Here, we present the occurrence of chyloperitoneum in a peritoneal dialysis patient disappeared immediately after discontinuation of calcium-antagonist. Read More

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July 2018
1 Read

Successful treatment of Gorham-Stout syndrome in the spine by vertebroplasty with cement augmentation: A case report and literature review.

Medicine (Baltimore) 2018 Jul;97(29):e11555

Department of Orthopedic Surgery.

Rationale: Gorham-Stout syndrome in the spine is extremely rare, and there is no standard curative management thus far. The objective of this article is to report a very rare case of Gorham-Stout syndrome of the lumbar and sacral spine with chylothorax and chyloperitoneum successfully treated by combination of vertebroplasty with cement augmentation and medication treatment. We described the clinical characteristics and postoperative therapy of the patient, and reviewed all of the published cases of Gorham-Stout syndrome of the lumbar and sacral spine. Read More

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July 2018
5 Reads

Blunt rupture of the thoracic duct after severe thoracic trauma.

Trauma Surg Acute Care Open 2018 20;3(1):e000183. Epub 2018 Jun 20.

Department of Surgery, CHI Health Creighton University Medical Center Bergan Mercy, Omaha, Nebraska, USA.

A 53-year-old man was admitted to our trauma center after sustaining thoracoabdominal injuries, secondary to a rear-end motor vehicle collision. As he stepped out of his vehicle, he was struck by a tractor trailer at 55 mph. The following were the initial vital signs on his arrival: heart rate 140 beats/min, blood pressure 142/80 mm Hg, respiratory rate 28 breaths/min, temperature 36. Read More

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June 2018
7 Reads

Chylous complications of various severity and manifestations within diverse compartments in reconstructive vascular surgery #) #) The manuscript is dedicated to Prof. Dr. Z. Halloul.

Pol Przegl Chir 2018 05;90(3):43-48

University Hospital at Magdeburg, Magdeburg (Germany) Dept. of General, Abdominal and Vascular Surgery.

Introduction: Chylous complications, which occur also in the profile of vascularsurgical interventions with considerable frequency, are challenging with regard to their adequate management. Aim & method: Compact short overview on epidemiological, classifying, symptomatic, diagnostic and therapeutic aspects of chylous complications in vascular surgery, based on i) own clinical experiences, ii) a current selection of relevant scientific references and iii) representative case reports from clinical practice. Results (complex patient- & clinical finding-associated aspects): - Basic treatment of lymphedema / postreconstructive edema comprises the complex physical therapy to improve edematous swelling, which need to be usually performed over years. Read More

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May 2018
6 Reads

Mycobacterial chylous ascites: report of three cases and systematic review.

Ther Adv Infect Dis 2018 Jul 2;5(4):69-75. Epub 2018 May 2.

Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Background: Chylous ascites is an uncommon presentation of mycobacterial infection.

Methods: We report three cases of tubercular chylous ascites, and in addition, we performed a systematic review of the published literature for the clinical presentation, treatment, and outcomes of mycobacterial chylous ascites. We followed the PRISMA guidelines for the systematic review. Read More

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July 2018
12 Reads

WITHDRAWN: Underlying etiology determines the outcome in atraumatic chylous ascites.

Authors:

Biosci Trends 2018 Jul 15. Epub 2018 Jul 15.

Ahead of Print article withdrawn by publisher. This withdrawal is for above article due to the misoperation of advance online publication. Read More

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July 2018
1 Read

Laparoscopic management of refractory chylous ascites using fluorescence navigation with indocyanine green: A case report.

Int J Surg Case Rep 2018 23;49:149-152. Epub 2018 Jun 23.

Department of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Science, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima City, Hiroshima 734-8551, Japan. Electronic address:

Introduction: Postoperative chylous ascites is a rare complication of colorectal surgery. Conservative management is usually effective in most cases of the postoperative chylous ascites. However, surgical intervention is performed for refractory cases. Read More

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June 2018
7 Reads