Liver cirrhosis and chylous ascites. Current disease with unusual presentation

• Published in: Acta médica del Centro : revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro" Vol. 10; no. 4; pp. 104 - 117
• Main Authors: Arletis Ferrer Pérez, Jim Lugo de Ornelas, Ana Cecilia Serrano, Madyaret Águila Carbelo, Juan Carlos Hernández Suárez, Claudia Emilia Gutiérrez Porras, Daniel Cabrera Hernández, Erick González Fernández, Rolando Jesús Barroso Rojas, Jorge López Romero
• Format: Journal Article
• Language: Spanish
• Published: Editorial Ciencias Médicas 01-10-2016
• Subjects: ascitis quilosa; cirrosis hepática
• EISSN: 2709-7927

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.