Internal medicine (Tokyo, Japan) · 2021
Chylous Ascites Due to Hyperthyroidism and Heart Failure.
СтатьяНазвание и аннотация: Перевод в очереди
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Uchihara Masaki, Ehara Jun, Iwanami Keiichi, Kitamura Koichi, Suzuki Toshihiko, Ishizuka Noriyoshi, Yamada Toru, Hiraoka Eiji
Аннотация
Chylous ascites (CA) is the accumulation of fluid with a high triglyceride content in the peritoneal cavity. Only two cases in the literature have reported CA with hyperthyroidism. A 28-year-old previously healthy woman presented with gradual-onset abdominal swelling, exertional dyspnea, and diarrhea. Hyperthyroidism and heart failure were diagnosed using laboratory investigation and echocardiography. Ultrasonography revealed a large amount of ascites. The ascitic fluid was milky with elevated triglyceride levels. Treatment with anti-thyroid therapy and diuretics improved all symptoms, and the free triiodothyronine (T3) level normalized after five days. Hyperthyroidism and heart failure should be considered as reversible causes of CA.