Cylous Ascites in Gynaecology Malignancy

Deri Edianto, Isnayu Jurimal, Muhammad Rizki Yaznil

2018

Abstract

Chylous ascites is ascites caused by leakage of lymphatic fluid which contain lipid to peritoneal cavity and a rare malignancy complication. Chylous ascites was reported in 1 from 2000 cases in 20 years. We report a 59 years old housewife, para 3, who was admitted to emergency unit Adam Malik General Hospital with abdominal enlargement. She has been experiencing this in the last 2 months ago. The signs and symptoms were nausea, vomiting, loss of appetite. She was diagnosed with carcinoma of the cervix stage II B on October 2016 and received chemoradiation (external beam radiotherapy 28x, chemotherapy 6x, brachytherapy 6x) in other hospital. The general findings were within normal limit. BMI was 15.82 kg/m2 (underweight). On physical examination, head, neck, and chest within normal findings. Abdominal findings were enlargement, distension, shifting dullness, no mass was palpable. The cervix looks fibrotic and no residual mass visible. Laboratory findings are thrombocytosis (629.000/mm3), hypoalbuminemia (2,7 g/dL), blood urea was within normal value, creatinine was 1,58 mg/dL. Electrolyte values were within normal except hyponatremia (132 mEq/L). Chest X-ray examination was atelectasis at right middle lung. CT scan finding suggested metastatic process in the liver. The patient was diagnosed with cervical cancer II B post chemoradiotherapy metastasize to the liver, massive ascites and hypoalbuminemia. Abdominal Paracentesis findings were 4000 ml of white milky fluid and the levels of triglycerides in the ascitic content were 1057 mg/dl. As a conclusion, chylous ascites is very rare with malignancy and cirrhosis are the main causes. Diagnosis of chylous ascites is paracentesis with increased triglyceride levels and the management mainly conservative.

Paper Citation

in Harvard Style

Edianto D., Jurimal I. and Yaznil M. (2018). Cylous Ascites in Gynaecology Malignancy.In Proceedings of the International Conference of Science, Technology, Engineering, Environmental and Ramification Researches - Volume 1: ICOSTEERR, ISBN 978-989-758-449-7, pages 433-435. DOI: 10.5220/0010070504330435

in Bibtex Style

@conference{icosteerr18,
author={Deri Edianto and Isnayu Jurimal and Muhammad Rizki Yaznil},
title={Cylous Ascites in Gynaecology Malignancy},
booktitle={Proceedings of the International Conference of Science, Technology, Engineering, Environmental and Ramification Researches - Volume 1: ICOSTEERR,},
year={2018},
pages={433-435},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0010070504330435},
isbn={978-989-758-449-7},
}

in EndNote Style

TY - CONF

JO - Proceedings of the International Conference of Science, Technology, Engineering, Environmental and Ramification Researches - Volume 1: ICOSTEERR,
TI - Cylous Ascites in Gynaecology Malignancy
SN - 978-989-758-449-7
AU - Edianto D.
AU - Jurimal I.
AU - Yaznil M.
PY - 2018
SP - 433
EP - 435
DO - 10.5220/0010070504330435