A rare case of chylous ascites and chyluria in an adult nephrotic syndrome with focal segmental glomerulosclerosis.
J Med Assoc Thai
; 89 Suppl 2: S253-6, 2006 Aug.
Article
in En
| MEDLINE
| ID: mdl-17044480
ABSTRACT
The authors report the first case of chylous ascites and chyluria in a 65-year-old Thai women with nephrotic syndrome due to focal segmental glomerulosclerosis (FSGS), tip variant. She presented with generalized edema and abdominal discomfort. Abdominal paracentesis revealed milky white fluid. Chylous ascites was confirmed. Abdominal and thoracic computed tomography did not show any cause of chylous ascites and chyluruia. Lymphoscintigraphy could not demonstrate lymph flow obstruction and connection between lymphatic pathway and KUB system. Those could have explained the chylous ascites or chyluria. Hypoalbuminemia-induced bowel edema may predispose to change the permeability of mucosal or serosal lymphatics. This could result in chylous ascites but the cause of chyluria could not be determined in this case.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Urine
/
Glomerulosclerosis, Focal Segmental
/
Chyle
/
Chylous Ascites
/
Nephrotic Syndrome
Limits:
Aged
/
Female
/
Humans
Country/Region as subject:
Asia
Language:
En
Journal:
J Med Assoc Thai
Year:
2006
Document type:
Article
Affiliation country:
Thailand