About Chylous ascites

What is Chylous ascites?

Chylous ascites is a type of ascites (accumulation of fluid in the abdomen) that is caused by the leakage of lymphatic fluid into the abdominal cavity. It is usually caused by a blockage or disruption of the lymphatic system, such as from cancer, trauma, or surgery. Symptoms of chylous ascites include abdominal swelling, pain, and difficulty breathing. Treatment typically involves draining the fluid from the abdomen and addressing the underlying cause.

What are the symptoms of Chylous ascites?

The main symptom of chylous ascites is the accumulation of a milky white fluid in the abdomen. Other symptoms may include abdominal pain, bloating, nausea, vomiting, and difficulty breathing. In some cases, the fluid may be visible through the skin, causing a bulging of the abdomen.

What are the causes of Chylous ascites?

The most common causes of chylous ascites are:

1. Lymphatic obstruction due to malignancy, trauma, or surgery.

2. Congenital disorders such as lymphangiectasia, lymphatic dysplasia, and congenital chylous ascites.

3. Infections such as tuberculosis, HIV, and fungal infections.

4. Liver cirrhosis.

5. Pancreatitis.

6. Hypoalbuminemia.

7. Medications such as chemotherapy and immunosuppressants.

What are the treatments for Chylous ascites?

1. Dietary modifications: A low-fat, low-sodium diet is recommended to reduce the amount of chyle produced.

2. Medications: Diuretics, such as furosemide, may be prescribed to reduce the amount of fluid in the abdomen.

3. Intravenous albumin: Albumin is a protein that helps to reduce the amount of fluid in the abdomen.

4. Intravenous immunoglobulin: This is a type of medication that helps to reduce inflammation and improve the absorption of fat.

5. Paracentesis: This is a procedure in which a needle is inserted into the abdomen to remove excess fluid.

6. Surgery: In some cases, surgery may be necessary to repair the underlying cause of the chylous ascites.

What are the risk factors for Chylous ascites?

1. Abdominal surgery
2. Malignancy
3. Tuberculosis
4. Cirrhosis
5. Pancreatitis
6. Trauma
7. Congenital heart disease
8. Congenital lymphatic malformation
9. Infectious diseases
10. Medications (e.g. chemotherapy)

Is there a cure/medications for Chylous ascites?

Yes, there are treatments available for chylous ascites. Treatment typically involves a combination of medications, such as diuretics, antibiotics, and antifungal medications, as well as dietary changes and lifestyle modifications. In some cases, surgery may be necessary to remove the affected lymphatic vessels.