Case Report
Copyright ©2009 The WJG Press and Baishideng.
World J Gastroenterol. Oct 14, 2009; 15(38): 4849-4852
Published online Oct 14, 2009. doi: 10.3748/wjg.15.4849
Table 1 Aetiology of chylous ascites[3]
Congenital (most common in the paediatric population)
Congenital idiopathic
Intestinal lymphangiectasia (mega lymphatics)
Primary lymphatic hypoplasia
Chyle cysts
Lymphangiomatosis
Acquired
Neoplastic (most common in adult population)
Malignant
Lymphoma
Kaposi’s sarcoma
Lymphangiomyomatosis
Carcinoid tumours
Other cancers (breast, pancreatic, colon, renal, testicular, ovarian, prostate)
Benign
Postoperative
Resection of the abdominal aorta
Retroperitoneal lymphadenectomy
Pancreaticoduodenectomy
Vagotomy
Radical nephrectomy
Warren shunt
Nissen fundoplication
Placement of peritoneal dialysis catheter
IVC resection
Inflammatory
Radiation therapy
Tuberculosis
Pancreatitis
Filariasis/ascariasis
Peritoneal dialysis
Sarcoidosis
Constrictive pericarditis
Retroperitoneal fibrosis
Coeliac spurae
Whipple’s disease
Retractile mesenteritis
Traumatic
Blunt (including Battered Child Syndrome)
Shear force to the root of the mesentery
Penetrating
Obstructive
Adhesions
Volvulus
Intussusception
Aortic aneurysm
Haemodynamic
Cirrhosis
Right heart failure
Dilated cardiomyopathy
Jugular, innominate, left subclavian, or portal vein thrombosis
Nephrotic syndrome