Chylous ascites caused by constrictive pericarditis
Chylous ascites is an uncommon clinical entity associated with lymphatic obstruction usually caused by underlying malignancy. The authors describe a patient with chylous ascites caused by constrictive pericarditis in the absence of mechanical lymphatic obstruction. Pathophysiological mechanisms for...
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Published in | The American journal of gastroenterology Vol. 82; no. 10; p. 1088 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
United States
01.10.1987
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Subjects | |
Online Access | Get more information |
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Summary: | Chylous ascites is an uncommon clinical entity associated with lymphatic obstruction usually caused by underlying malignancy. The authors describe a patient with chylous ascites caused by constrictive pericarditis in the absence of mechanical lymphatic obstruction. Pathophysiological mechanisms for the development of chylous ascites in constrictive pericarditis include augmented lymph production and high impedance to lymph drainage caused by central venous hypertension. After pericardiectomy, the patient's ascites and edema resolved. Constrictive pericarditis should be considered a rare but potentially curable cause of chylous ascites. |
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ISSN: | 0002-9270 |