It is well known that fasting and the administration of low fat medium chain triglycerides by mouth resolves approximately 50% of traumatic chylous
fistulas (1, 2).
ascites is an abnormal accumulation and collection of lipid-rich lymphatic fluid in the peritoneal cavity.
ascites is rare but is associated with several potentially life-threatening diagnoses including tuberculosis, pancreatitis , and malignancy .
fistulae after neck dissections are a troublesome yet relatively uncommon complication, with incidence rates in the literature varying from 1 to 6%.
effusions resolve spontaneously or upon treatment of the underlying cause (3).
ascites is attributed to malignancies as the cause in the majority of cases.
They are characterized by the presence of chylous
or serous fluid within an irregularly dilated lymphatic channel.
Ramanikanth, "Drain removal and aspiration to treat low output chylous
fistula," European Archives of Oto-Rhino-Laryngology, vol.
Based on the histological features of the enlarged lymph node, with nodular expanding dendritic networks and high endothelial venules, combined with infiltrating CD4-positive atypical small T-lymphocytes with TFH phenotype, scattered CD30-and CD20-positive RS-like B-cells, and clinical signs of systemic lymphadenopathy with chylothorax and chylous
ascites, the patient was diagnosed with AITL.
Several days into the postoperative period, the intraabdominal drain near the wound bed showed chylous
The clinicoradiologic picture is characterized by progressive pulmonary cystic changes and chylous
pleural effusions .
Moss, "Changes in lung function and chylous
effusions in patients with lymphangioleiomyomatosis treated with sirolimus," Annals of Internal Medicine, vol.