Chylous Ascites caused by Lutembacherûs Syndrome: A Case Report and Review of the Literature

Authors

  • Thaworn Subtaweesin Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Pansak Laksanabunsong Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University

Keywords:

Atrial septal defect and mitral stenosis, chyloperitoneum, chylous ascites, Lutembacherûs syndrome

Abstract

Chylous ascites is a well-documented sequelae of traumatic rupture of the thoracic duct and mechanical obstruction of the lymphatic system due to neoplastic, inflammatory, or congenital anomalies. Less commonly, chylous ascites results from altered hemodynamics and lymphatic flow, as seen in constrictive pericarditis and heart failure. We report a case of chylous ascites due to severe mitral stenosis plus atrial septal defect known as Lutembacherûs syndrome. From our knowledge, this has never been reported before. The chylous ascites disappeared after repairing the heart. The pathophysiology of chylous ascites formation in this clinical syndrome will be discussed, with a review of the literature.

Downloads

Published

01-03-2008

How to Cite

Subtaweesin, T., & Laksanabunsong, P. . (2008). Chylous Ascites caused by Lutembacherûs Syndrome: A Case Report and Review of the Literature. Siriraj Medical Journal, 60(2), 78–80. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/246361

Issue

Vol. 60 No. 2 (2008): Mar-Apr

Section

Case Report

License

Users are free to share, copy, and redistribute all articles published in the Siriraj Medical Journal (SMJ) in any medium or format as long as you follow the following terms:

  • Attribution — You must give appropriate credit, provide a link to the material, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the publisher endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.