Lymphangioleiomyomatosis cells have been found in the blood, urine, and chylous
fluids of patients with LAM, (18) indicating that LAM cells can leave the primary lesions, disseminate through blood or lymph vessels, and implant into secondary sites.
Nutritional support in patients with low volume chylous
fistula following radical neck dissection.
The concern regarding chylous
fistulae stems from the electrolyte imbalances and edema resulting in hypovolemia.
It may manifest with chylous
ascites and chyloretroperitoneum (1, 2).
Today, patient is doing well and does not complain of any breathlessness and does not have any refilling of chylous
ascites after radical nephrectomy and inferior vena cava thrombectomy.
Ascites Protein Color Unique findings Urinary 2-7 Yellow High creatinine level (183 [2, 3] g/L [micro]mol/L) (a) High urea level (20 mmol/L) Chylous
The progression of the disease saw the ascities fluid change form straw coloured, clear fluid to a chylous
or milky appearance consistent with malignancy.
Macroscopic appearance of pleural effusions Straw colour * Tuberculosis * Transudates * Simple parapneumonic effusion * Benign asbestos-related effusion Chylous
* Neoplasms * Trauma * Tuberculosis * Sarcoidosis * Amyloidosis * Neoplasm Bloody * Trauma * Pulmonary embolism * Post-cardiac injury Purulent * Tuberculosis * Empyema
pleural effusion is an uncommon complication secondary to pathology of the thoracic duct; however, determining the aetiology of chylothorax in HIV-positive patients with KS and/or TB is a significant challenge.
ascites as a presenting sign of prostatic adenocarcinoma.
The chest drain was re-inserted and 2 litres of chylous
fluid was drained.