Saudi Journal of Kidney Diseases and Transplantation

CASE REPORT
Year
: 2020  |  Volume : 31  |  Issue : 3  |  Page : 687--692

Chylous nephrogenic ascites in a hemodialysis patient


Muhammad Abdul Mabood Khalil1, Mohamad Khairulsadek Haji Jukmin2, Vui Heng Chong1, Jackson Tan1 
1 Department of Renal Medicine, RIPAS Hospital, Bandar Seri Begawan BA1710, Brunei Darussalam
2 Faculty of Medicine, University of New South Wales, Sydney, Australia

Correspondence Address:
Muhammad Abdul Mabood Khalil
Department of Renal Medicine, RIPAS Hospital, Bandar Seri Begawan BA1710
Brunei Darussalam

Chylous nephrogenic ascites is rare in hemodialysis (HD) patients. We would like to share a rare case of chylous nephrogenic ascites in a HD patient. The patient has a history of straw-colored nephrogenic ascites which was drained through pigtail five times in the past. Later on, the ascites became turbid and milky. The chloroform test of the ascitic fluid showed fat globules with Oil Red-O stain, and the triglyceride concentration of ascitic fluid was 168.14 mg/dL (1.93 mmol/L) satisfying the criteria of chylous ascites. We believe that this may be caused by microtrauma from repeated pigtail insertions for ascites which was compounded by inadequate HD and noncompliance with fluids. Routine investigations including screening for malignancy, tuberculosis, cirrhosis, and heart failure did not reveal any other possible causes. Although there are few case reports of chylous ascites in peritoneal dialysis patients, it has never been reported in patients on HD.


How to cite this article:
Mabood Khalil MA, Haji Jukmin MK, Chong VH, Tan J. Chylous nephrogenic ascites in a hemodialysis patient.Saudi J Kidney Dis Transpl 2020;31:687-692


How to cite this URL:
Mabood Khalil MA, Haji Jukmin MK, Chong VH, Tan J. Chylous nephrogenic ascites in a hemodialysis patient. Saudi J Kidney Dis Transpl [serial online] 2020 [cited 2022 May 27 ];31:687-692
Available from: https://www.sjkdt.org/article.asp?issn=1319-2442;year=2020;volume=31;issue=3;spage=687;epage=692;aulast=Mabood;type=0