Details

Autor(en) / Beteiligte

• Uchihara, Masaki
• Ehara, Jun
• Iwanami, Keiichi
• Kitamura, Koichi
• Suzuki, Toshihiko
• Ishizuka, Noriyoshi
• Yamada, Toru
• Hiraoka, Eiji

Titel

Chylous Ascites Due to Hyperthyroidism and Heart Failure

Ist Teil von

• Internal Medicine, 2022/07/01, Vol.61(13), pp.1995-1998

Ort / Verlag

Japan: The Japanese Society of Internal Medicine

Erscheinungsjahr

2022

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• 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.