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| 만성 신부전 환자에서 복막 투석중 발생한 Chyloperitoneum 1예 (Chylous Ascites in a Patient Undergoing Continuous Ambulatory Peritoneal Dialysis) |
| 김영준, 임규철, 이순애, 정종익, 김진휘, 권덕호, 정상용, 서상렬 (Young Jun Kim, Gyu Chul Lim, Sun Ae Lee, Chong Ik Jung, Jin Hwui Kim, Duk Ho Kwon, Sang Yong Jung and Sang Yeol Suh) |
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| Abstract |
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Chylous ascites is extravasation of lymphatic fluid and retention in the peritoneal cavity due to traurna or obstruction of the lymphatic system. Chylous ascites is very rare complication of Continuous Ambulatory Peritoneal Dialysis(CAPD) and is associated with trauma to the lymphatics during catheter insertion in the early stage of CAPD and repeated mild trauma to the lyrnphatics during long-term dialysis. Chylous ascites in the CAPD is suspected when the drained peritoneal fluid is milky white and confirmed by demonstration of the specific components of chyle, such as elevated triglyceride and low cholesterol than plasma and should be differentiated from pseudochyle and bacterial peritonitis. We report a case of chylous ascites in a patient undergoing CAPD at 2 months later of initiation of CAPD, which was not improved by conservative management. So CAPD catheter was removed and renal replacement therapy was changed to hemodialysis. |
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