Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2012 May;6(2):478-83.
doi: 10.1159/000341514. Epub 2012 Jul 19.

Chylous ascites secondary to giant liver hemangioma

Darius L Lazarus  1 , Said A Al-Busafi, Nir Hilzenrat
Affiliations
Case Reports

Chylous ascites secondary to giant liver hemangioma

Darius L Lazarus et al. Case Rep Gastroenterol. 2012 May.

Abstract

Chylous ascites is rare in clinical practice. It is characterized by milky-appearing peritoneal fluid with a triglycerides concentration of >1.25 mmol/l (110 mg/dl). Its pathophysiology is related to a disruption in the normal lymphatic flow. It is more common after trauma (including post surgery), neoplasia or atypical infections such as tuberculosis or filariasis. Other rare medical causes have been reported. The treatment is supportive and focused on correction of the underlying pathology. We report here the first case of chylous ascites caused by giant liver hemangioma and discuss the management of this condition.

Keywords: Ascites; Chyle; Chylous ascites; Hemangioma.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
CT scan slide of the patient. The right lobe of the liver was almost completely replaced by a large mass (white arrow) showing peripheral discontinuous nodular and progressive enhancement compatible with a hemangioma measuring up to 17 × 15 × 11 cm. Presence of ascites was also noted (black arrow).
Fig. 2
Fig. 2
MRI slide of the patient. Enlarged hemangioma (white arrow).
See this image and copyright information in PMC

References

    1. Almakdisi T, Massoud S, Makdisi G. Lymphomas and chylous ascites: review of the literature. Oncologist. 2005;10:632–635. - PubMed
    1. Vasko JS, Tapper RI. The surgical significance of chylous ascites. Arch Surg. 1967;95:355–368. - PubMed
    1. Steinemann DC, Dindo D, Clavien PA, Nocito A. Atraumatic chylous ascites: systematic review on symptoms and causes. J Am Coll Surg. 2011;212:899–905. e1–4. - PubMed
    1. Leong RW, House AK, Jeffrey GP. Chylous ascites caused by portal vein thrombosis treated with octreotide. J Gastroenterol Hepatol. 2003;18:1211–1213. - PubMed
    1. Mincher L, Evans J, Jenner MW, Varney VA. The successful treatment of chylous effusions in malignant disease with octreotide. Clin Oncol (R Coll Radiol) 2005;17:118–121. - PubMed

Publication types