Chylous Ascites in a Patient Undergoing Continuous Ambulatory Peritoneal Dialysis.
- Author:
Young Jun KIM
;
Gyu Chul LIM
;
Sun Ae LEE
;
Chong Ik JUNG
;
Jin Hwui KIM
;
Duk Ho KWON
;
Sang Yong JUNG
;
Sang Yeol SUH
- Publication Type:Original Article
- Keywords:
Chylous ascites;
CAPD
- MeSH:
Ascitic Fluid;
Catheters;
Cholesterol;
Chyle;
Chylous Ascites*;
Dialysis;
Humans;
Lymphatic System;
Peritoneal Cavity;
Peritoneal Dialysis, Continuous Ambulatory*;
Peritonitis;
Plasma;
Renal Dialysis;
Renal Replacement Therapy;
Triglycerides
- From:Korean Journal of Nephrology
1998;17(4):649-652
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Chylous ascites is extravasation of lymphatic fluid and retention in the peritoneal cavity due to traurna or obstruction of the lymphatic system. Chylous ascites is very rare complication of Continuous Ambulatory Peritoneal Dialysis (CAPD) and is associated with trauma to the lymphatics during catheter insertion in the early stage of CAPD and repeated mild trauma to the lyrnphatics during longterm dialysis. Chylous ascites in the CAPD is suspected when the drained peritoneal fluid is milky white and confirmed by demonstration of the specific components of chyle, such as elevated triglyceride and low cholesterol than plasma and should be differentiated from pseudochyle and bacterial peritonitis. We report a case of chylous ascites in a patient undergoing CAPD at 2 months later of initiation of CAPD, which was not improved by conservative management. So CAPD catheter was removed and renal replacement therapy was changed to hemodialysis.
