| Revista: | lRevista médica de Chile |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000454733 |
| ISSN: | 0034-9887 |
| Autores: | Jofré, Paulina1 Grassi, Bruno1 Benítez, Carlos2 |
| Instituciones: | 1Pontificia Universidad Católica de Chile, Departamento de Nutrición, Diabetes y Metabolismo, Santiago de Chile. Chile 2Pontificia Universidad Católica de Chile, Departamento de Gastroenterología, Santiago de Chile. Chile |
| Año: | 2020 |
| Periodo: | Ago |
| Volumen: | 148 |
| Número: | 8 |
| Paginación: | 1202-1206 |
| País: | Chile |
| Idioma: | Español |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico |
| Resumen en inglés | 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 |
| Disciplinas: | Medicina |
| Palabras clave: | Terapéutica y rehabilitación, Ascitis quilosa, Hipertensión portal, Cirrosis hepática, Apoyo nutricional, Derivación portosistémica intrahepática transyugular |
| Keyword: | Therapeutics and rehabilitation, Chylous ascites, Portal hypertension, Liver cirrhosis, Nutritional support, Transjugular intrahepatic portosystemic shunt |
| Texto completo: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
