2016, Number 4
Cirrosis hepática y ascitis quilosa, una enfermedad corriente con presentación inusual
Language: Spanish
References: 7
Page: 104-117
PDF size: 1088.53 Kb.
ABSTRACT
This is a female patient of 61 years with personal pathological history of hypertension, diabetes mellitus type 2 and liver cirrhosis. She was admitted at hospital with a diagnosis of chylous ascites and the probability of lymphoma versus peritoneal tuberculosis and it was performed multiple imaging studies that reported no tumor process. She evolved unfavorably until she presented diffuse peritonitis superimposed, hepatorenal syndrome and taking of the general state with electrolyte imbalance and acid-base. Pathological findings showed liver cirrhosis with diffuse peritonitis fibrinopurulent superadded to chylous ascites; she died with failure of multiple organ. Cirrhosis occupies 0.5% of the causes of chylous ascites.REFERENCES
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Olivar Roldán J, Fernández Martínez A, Martínez SanchoE, Díaz Gómez J, Martín Borge V, Gómez Candela C. Tratamiento dietético de la ascitis quilosa postquirúrgica: caso clínico y revisión de la literatura. Nutr Hosp [Internet]. 2009 [citado 22 Abr 2015];24(6):[aprox. 5 p.]. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112009006600118
Valdivia JA, Rivera S, Ramírez D, De los Ríos R, Bussalleu A, Huerta-Mercado J, et al. Ascitis quilosa como manifestación de un linfoma retroperitoneal. Rev Gastroenterol Perú [Internet]. 2003 [citado 22 Abr 2015];23(4):297-301. Disponible en: http://sisbib.unmsm.edu.pe/bvrevistas/gastro/vol_23n4/ascitis.htm
Ares Blanco J, Pellejero P, Díaz-Naya L, Villazón F, Martín Nieto A, Menéndez Torre E, et al. Ascitis quilosa postlaparoscopia abdominal; revisión y descripción de un caso. Nutr Hosp [Internet]. 2015 [citado 22 Abr 2014];31(4):1874-1878. Disponible en: http://www.aulamedica.es/gdcr/index.php/nh/article/view/8311/pdf_7994