Tratamiento de quilotórax y quiloascitis refractaria en paciente cirrótico. Caso clínico

Tratamiento de quilotórax y quiloascitis refractaria en paciente cirrótico. Caso clínico

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...

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Autores principales: Jofré,Paulina, Grassi,Bruno, Benítez,Carlos
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2020
Materias:
Chylous Ascites
Hypertension, Portal
Liver Cirrhosis
Nutritional Support
Portasystemic Shunt, Transjugular Intrahepatic
Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000801202
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spelling oai:scielo:S0034-988720200008012022020-12-26Tratamiento de quilotórax y quiloascitis refractaria en paciente cirrótico. Caso clínicoJofré,PaulinaGrassi,BrunoBenítez,Carlos Chylous Ascites Hypertension, Portal Liver Cirrhosis Nutritional Support Portasystemic Shunt, Transjugular Intrahepatic 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.8 20202020-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000801202es10.4067/S0034-98872020000801202
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Chylous Ascites
Hypertension, Portal
Liver Cirrhosis
Nutritional Support
Portasystemic Shunt, Transjugular Intrahepatic
spellingShingle Chylous Ascites
Hypertension, Portal
Liver Cirrhosis
Nutritional Support
Portasystemic Shunt, Transjugular Intrahepatic
Jofré,Paulina
Grassi,Bruno
Benítez,Carlos
Tratamiento de quilotórax y quiloascitis refractaria en paciente cirrótico. Caso clínico
description 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.
author Jofré,Paulina
Grassi,Bruno
Benítez,Carlos
author_facet Jofré,Paulina
Grassi,Bruno
Benítez,Carlos
author_sort Jofré,Paulina
title Tratamiento de quilotórax y quiloascitis refractaria en paciente cirrótico. Caso clínico
title_short Tratamiento de quilotórax y quiloascitis refractaria en paciente cirrótico. Caso clínico
title_full Tratamiento de quilotórax y quiloascitis refractaria en paciente cirrótico. Caso clínico
title_fullStr Tratamiento de quilotórax y quiloascitis refractaria en paciente cirrótico. Caso clínico
title_full_unstemmed Tratamiento de quilotórax y quiloascitis refractaria en paciente cirrótico. Caso clínico
title_sort tratamiento de quilotórax y quiloascitis refractaria en paciente cirrótico. caso clínico
publisher Sociedad Médica de Santiago
publishDate 2020
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000801202
work_keys_str_mv AT jofrepaulina tratamientodequilotoraxyquiloascitisrefractariaenpacientecirroticocasoclinico
AT grassibruno tratamientodequilotoraxyquiloascitisrefractariaenpacientecirroticocasoclinico
AT benitezcarlos tratamientodequilotoraxyquiloascitisrefractariaenpacientecirroticocasoclinico
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