ArticleDigestive diseases and sciences2007
Chylous ascites secondary to pancreatitis: management of an uncommon entity using parenteral nutrition and octreotide.
Article in Digestive diseases and sciences, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed, 37 citations in OpenAlex.
- Case Report: Pediatric chylous ascites beyond congenital malformations-infectious causes and nutritional management with a literature review.Frontiers in pediatrics · 2026Article
- Ascites in Acute Pancreatitis: Clinical Implications and Management.Digestive diseases and sciences · 2022Review
- Lipoprotein profile of pleural and peritoneal transudates in dogs and cats.Journal of veterinary internal medicine · 2022Article
- An Unusual Combination of Three Rare Complications: Pleuro-Pancreatic Fistula, Chylous Ascites, and Renal Vein Thrombosis, in a Case of Acute Severe Pancreatitis.Surgery journal (New York, N.Y.) · 2019Article
- Idiopathic chylous ascites in a patient with HIV infection: response to total parenteral nutrition and octreotide therapy.Clinical journal of gastroenterology · 2018Article
- Surgical and interventional management of complications caused by acute pancreatitis.World journal of gastroenterology · 2014Review
- Chyle leak following biliary pancreatitis.Journal of surgical case reports · 2014Article
- Ascitic Fluid Analysis in the Differential Diagnosis of Ascites: Focus on Cirrhotic Ascites.Journal of clinical and translational hepatology · 2014Review
- Chylous ascites as a consequence of idiopathic pancreatitis.BMJ case reports · 2014Article
- Chronic pancreatitis associated with chylous ascites simulating liver cirrhosis.Case reports in surgery · 2013Article
- Acute chylous peritonitis due to acute pancreatitis.World journal of gastroenterology · 2012Article
- Acute appendicitis together with chylous ascites: is it a coincidence?Case reports in medicine · 2010Article
- Acute chylous ascites mimicking acute appendicitis in a patient with pancreatitis.World journal of gastroenterology · 2009Article
- Chylous Ascites in a Patient with Inflammatory Myofibroblastic Tumor.Case reports in oncology · 2009Article
- Clonidine therapy for pancreatitis.Digestive diseases and sciences · 2008Article
- Chyloperitoneum associated with idiopathic pancreatitis: case report and review of the literature.Il Giornale di chirurgiaReview
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5 authors at 3 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
Malignancy, surgical trauma, cirrhosis and tuberculosis account for more than 95% of causes for chylous ascites. We report a case of persistent chylous ascites following acute pancreatitis that responded to parenteral nutrition and octreotide. A 50 year-old male was diagnosed with acute alcoholic pancreatitis after presenting with typical abdominal pain, and elevated amylase and lipase. The acute symptoms resolved within one week. Four weeks later he started developing increased abdominal girth. Examination revealed the presence of shifting dullness and paracentesis confirmed diagnosis of chylous ascites. Investigations for the common causes of chylous ascites were negative. Laparoscopy confirmed the presence of fat necrosis within mesenteric lymph nodes linking the chylous ascites to the episode of pancreatitis. The Chylous ascites was resistant to the usual medical therapy, but responded only to the combination of octreotide and total parenteral nutrition with complete resolution of ascites in 8 weeks. This case of chylous ascites secondary to pancreatitis represents an uncommon presentation with effective management resulting in a dramatic response.
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