A case report of chylous ascites after cardiac surgery
Abstract. Background. Chylous ascites (CA), an emulsion rich in triglycerides, is a rare type of ascites, especially after cardiac surgery. Also, there are few reports of the occurrence of CA after mitral valve replacement, aortic valve replacement, tricuspid valvuloplasty, and coronary artery bypas...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health/LWW
2024-03-01
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| Series: | Emergency and Critical Care Medicine |
| Online Access: | http://journals.lww.com/10.1097/EC9.0000000000000084 |
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| Summary: | Abstract. Background. Chylous ascites (CA), an emulsion rich in triglycerides, is a rare type of ascites, especially after cardiac surgery. Also, there are few reports of the occurrence of CA after mitral valve replacement, aortic valve replacement, tricuspid valvuloplasty, and coronary artery bypass grafting.
Case presentation. We report the case of a 53-year-old man who underwent surgery for a diagnosis of mitral incompetence, aortic incompetence, tricuspid incompetence, and coronary atherosclerotic heart disease. Fifteen days after surgery, 3000 mL of milky-yellow ascites appeared in the abdominal cavity, diagnosed as CA by laboratory examination. The ascites gradually disappeared after being drained, and the patients improved. The curative was objective, but the exact cause is not clear.
Conclusion. Although CA is rare, it may occur during the surgical intervention in cardiac surgery. |
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| ISSN: | 2097-0617 2693-860X |