A Case of Endometriosis with Chylous Ascites / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 368-372, 2010.
Article
em Ko
| WPRIM
| ID: wpr-18221
Biblioteca responsável:
WPRO
ABSTRACT
Chylous ascites is the extravasation into the peritoneal cavity of milky chyle that is rich in triglycerides. Sixty to seventy percent of chylous ascites cases are caused by cirrhotic liver disease, congestive heart failure, or malignancy. The most common malignancy associated with chylous ascites is lymphoma. Rarely, tuberculosis has been reported as a cause of chylous ascites. Appropriately, lymphoma, ovarian cancer or tuberculosis is considered first in the differential diagnosis when a young woman of reproductive age presents with chylous ascites. Recently, we examined a 26-year-old woman who visited our hospital because of abdominal distension. Ascites tapping, esophagogastroduodenoscopy, colonoscopy and diagnostic laparoscopic biopsy led to a diagnosis of intraperitoneal endometriosis with chylous ascites. To date, some cases of endometriosis complicated by massive ascites have been reported. However, endometriosis complicated by chylous ascites has not been previously reported. The case was successfully treated using a gonadotropin-releasing hormone agonist and diuretics.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Neoplasias Ovarianas
/
Cavidade Peritoneal
/
Ascite
/
Triglicerídeos
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Tuberculose
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Biópsia
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Endoscopia do Sistema Digestório
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Hormônio Liberador de Gonadotropina
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Colonoscopia
/
Quilo
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
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Female
/
Humans
Idioma:
Ko
Ano de publicação:
2010
Tipo de documento:
Article