Management of chylous ascites after liver cirrhosis: A case report

doi:10.4254/wjh.v17.i1.100797

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World Journal of Hepatology

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1948-5182

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Hepatol. Jan 27, 2025; 17(1): 100797
Published online Jan 27, 2025. doi: 10.4254/wjh.v17.i1.100797

Management of chylous ascites after liver cirrhosis: A case report

Zong-Qiang Chen, Shu-Jun Zeng, Chun Xu

Zong-Qiang Chen, Department of Gastroenterology, Guangdong Medical University, Zhanjiang 524000, Guangdong Province, China

Shu-Jun Zeng, Chun Xu, Department of Gastroenterology, Huizhou Central People’s Hospital, Huizhou 516000, Guangdong Province, China

Author contributions: Chen ZQ collected the clinical data and relevant references, and drafted the manuscript; Xu C and Zeng SJ reviewed the references and revised the manuscript; and all authors read and approved the final manuscript.

Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Chun Xu, Department of Gastroenterology, Huizhou Central People’s Hospital, No. 41 Eling North Road, Huizhou 516000, Guangdong Province, China. 18211383281@163.com

Received: August 27, 2024
Revised: October 15, 2024
Accepted: November 18, 2024
Published online: January 27, 2025
Processing time: 132 Days and 19.6 Hours

Core Tip

Core Tip: This article presents a case of a patient with cirrhosis complicated by chylous ascites who experienced suboptimal outcomes despite adhering to conventional treatments, including a low-salt, low-fat, high-protein diet, diuretics, and abdominal paracentesis with catheter drainage. Ultimately, the patient’s condition was successfully managed through a transjugular intrahepatic portosystemic shunt procedure. The treatment approach described in this case may provide valuable insights for managing similar cases in clinical practice.