Idiopathic Chylous Ascites Treated With Total Parenteral Nutrition and Octreotide. A Case Report and Review of the Literature

Eur J Gastroenterol Hepatol. 2011 Oct; 23(10):961-3. doi: 10.1097/MEG.0b013e328349aa2d.
Yildirim, A. E., Altun, R., Can, S., Ocal, S., Akbaş, E., Korkmaz, M., Selçuk, H., & Yilmaz, U.


Chylous ascites is the accumulation of lipid-rich lymph in the peritoneal cavity. The usual cause in adults is lymphatic obstruction or leakage caused by malignancy. Non-malignant causes include postoperative trauma, cirrhosis, tuberculosis, pancreatitis and filariasis. A variety of treatment options have been proposed for the management of chylous ascites; however, their effectiveness in idiopathic or primary form is unknown. Here we report a case of chylous acid rapidly resolved with the treatment of fasting, total parenteral nutrition and somatostatin analogue.

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List of abbreviations

DGEM German Society for Nutritional Medicine (German Deutsche Gesellschaft für Ernährungsmedizin)
GESKES  Swiss Society for Clinical Nutrition (German Gesellschaft für klinische Ernährung der Schweiz) 
ESPEN European Society of Clinicl Nutrition and Metabolism