Presse medicale (Paris, France : 1983) · 2008
[Chylous ascites after pelvic irradiation for urologic malignancy].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Ouakaa-Kchaou Asma, Ennaifer Rim, Elloumi Hela, Belhadj Najet, Gargouri Dalila, Kochlef Asma, Kilani Afef, Romani Malika, Kharrat Jamel, Ghorbel Abdeljabbar
Аннотация
CASE: A 74-year-old woman had a history of transitional papillary carcinoma of the urethra, treated with brachytherapy and radiation therapy. She was hospitalized for exploration of chylous ascites. After a work-up, we concluded it was due to chyloperitoneum caused by a post-radiation lymphatic opening. Conservative treatment, including a low-fat high-protein diet, together with medium-chain triglycerides, led to the drying of the ascites.
DISCUSSION: Development of chylous ascites after radiation therapy requires first of all a search for a tumor recurrence. Nonetheless, radiation induction must be considered; its course is usually benign with good response to conservative treatment.
DISCUSSION: Development of chylous ascites after radiation therapy requires first of all a search for a tumor recurrence. Nonetheless, radiation induction must be considered; its course is usually benign with good response to conservative treatment.