Spot Diagnosis

Chylous ascitis



Question :
This child has chylous ascitis.

What is the differential diagnosis?

Discussion :
Chylous ascitis is defined as presence of milky, turbid or creamy ascitic fluid due to presence of increased triglyceride (fat) content of>1000 mg/dl either due to presence of intestinal or thoracic lymph. The common causes are congenital anomaly of lymphatics, obstruction of thoracic duct within its abdominal portion due to trauma, tumor, large lymph nodes and rupture of major lymphatic channel. The other causes are tuberculosis, filariasis, nephrotic syndrome, cirrhosis, rheumatoid arthritis and other serositis.

Correct Answers : yes  26%

Last Shown : Oct 2005
 
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