Publication: Chylous ascites and chylothorax due to constrictive pericarditis in a patient infected with HIV: A case report
Issued Date
2012-06-29
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ISSN
17521947
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2-s2.0-84862748343
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of Medical Case Reports. Vol.6, (2012)
Suggested Citation
Sarawut Summachiwakij, Wiwun Tungsubutra, Pornpan Koomanachai, Suchai Charoenratanakul Chylous ascites and chylothorax due to constrictive pericarditis in a patient infected with HIV: A case report. Journal of Medical Case Reports. Vol.6, (2012). doi:10.1186/1752-1947-6-163 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/14761
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Title
Chylous ascites and chylothorax due to constrictive pericarditis in a patient infected with HIV: A case report
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Abstract
Introduction: Chylothorax and chylous ascites are uncommon and usually associated with trauma or neoplasms. To the best of our knowledge, constrictive pericarditis leading to chylothorax and chylous ascites in a person infected with HIV has never previously been described. Case presentation: A 39-year-old Thai man was referred to our institute with progressive dyspnea, edema and abdominal distension. His medical history included HIV infection and pulmonary tuberculosis that was complicated by tuberculous pericarditis and cardiac tamponade. Upon further investigation, we found constrictive pericarditis, chylothorax and chylous ascites. A pericardiectomy was performed which resulted in gradual resolution of the ascites and chylous effusion. Conclusions: Although constrictive pericarditis is an exceptionally rare cause of chylothorax and chylous ascites, it should nonetheless be considered in the differential diagnosis as a potentially reversible cause. © 2012 Summachiwakij et al.; licensee BioMed Central Ltd.