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

• Autores: Paulina Jofré, Bruno Grassi, Carlos Benítez
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 148, Nº. 8, 2020, págs. 1202-1206
• Idioma: español
• Títulos paralelos:
  • Management of chylous ascites and chylothorax. Report of one case
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• Resumen

  • 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.