Chylous Ascites (Chyloperitoneum) as an Initial Sign of Gastric Carcinoma

Detalhes bibliográficos
Autor(a) principal: Godoy, Adriana R. N.
Data de Publicação: 2001
Outros Autores: Lacerda, Cláudio S., Carvalho, Mauricio
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/2328
Resumo: Chylous ascites is a rare clinical condition, characterized by ascites of a milky aspect and an ascitic concentration of triglycerides higher than 1000 mg/dl, or 2 to 8 times higher than in serum. We report a case of a 68 year-old male who presented with a 10kg weight loss and abdominal distention. Ascitic fluid was chylous, with triglycerides of 890 mg/dl (triglycerides in serum – 59 mg/dl). An abdominal CT scan revealed ascites and signs of chronic hepatic failure. An upper gastrointestinal endoscopy showed an invasive tumor in antrum. Gastric biopsy was diagnostic of a poorly differentiated adenocarcinoma. In conclusion, gastric adenocarcinoma should be included in differential diagnoses of chylous ascites in adults, together with lymphomas and other malignancies.
id INCA-1_a363742babd112eb67299021ce58646c
oai_identifier_str oai:rbc.inca.gov.br:article/2328
network_acronym_str INCA-1
network_name_str Revista Brasileira de Cancerologia (Online)
repository_id_str
spelling Chylous Ascites (Chyloperitoneum) as an Initial Sign of Gastric CarcinomaAscite Quilosa (Quiloperitônio) Como Manifestação Inicial de Carcinoma GástricoNeoplasias GastrointestinaisAscite QuilosaAdenocarcinomaGastrointestinal NeoplasmsChylous AscitesAdenocarcinomaChylous ascites is a rare clinical condition, characterized by ascites of a milky aspect and an ascitic concentration of triglycerides higher than 1000 mg/dl, or 2 to 8 times higher than in serum. We report a case of a 68 year-old male who presented with a 10kg weight loss and abdominal distention. Ascitic fluid was chylous, with triglycerides of 890 mg/dl (triglycerides in serum – 59 mg/dl). An abdominal CT scan revealed ascites and signs of chronic hepatic failure. An upper gastrointestinal endoscopy showed an invasive tumor in antrum. Gastric biopsy was diagnostic of a poorly differentiated adenocarcinoma. In conclusion, gastric adenocarcinoma should be included in differential diagnoses of chylous ascites in adults, together with lymphomas and other malignancies.A ascite quilosa é entidade clínica rara, caracterizada por líquido ascítico de aparência leitosa, com conteúdo de triglicerídeos maior que 1000 mg/dl ou 2 a 8 vezes acima do nível plasmático. Nós relatamos o caso clínico de um paciente masculino, de 68 anos, com história de emagrecimento de 10 kg e aumento de volume abdominal. A paracentese demonstrou líquido ascítico quiloso, com triglicerídeos (TG) de 890 mg/dl (TG plasmático de 59 mg/dl). Realizou tomografia computadorizada, que revelou ascite volumosa e sinais de hepatopatia crônica. À endoscopia digestiva alta evidenciou-se lesão invasiva em antro gástrico, cuja biópsia foi diagnóstica de adenocarcinoma gástrico pouco diferenciado. Em conclusão, o adenocarcinoma gástrico deve ser incluído no diagnóstico diferencial de ascite quilosa em adultos, ao lado dos linfomas e outras doenças malignas.INCA2001-06-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/232810.32635/2176-9745.RBC.2001v47n2.2328Revista Brasileira de Cancerologia; Vol. 47 No. 2 (2001): Apr./May/June; 159-161Revista Brasileira de Cancerologia; Vol. 47 Núm. 2 (2001): abr./mayo/jun.; 159-161Revista Brasileira de Cancerologia; v. 47 n. 2 (2001): abr./maio/jun.; 159-1612176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/2328/1452Godoy, Adriana R. N. Lacerda, Cláudio S. Carvalho, Mauricio info:eu-repo/semantics/openAccess2021-11-29T20:41:45Zoai:rbc.inca.gov.br:article/2328Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:41:45Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Chylous Ascites (Chyloperitoneum) as an Initial Sign of Gastric Carcinoma
Ascite Quilosa (Quiloperitônio) Como Manifestação Inicial de Carcinoma Gástrico
title Chylous Ascites (Chyloperitoneum) as an Initial Sign of Gastric Carcinoma
spellingShingle Chylous Ascites (Chyloperitoneum) as an Initial Sign of Gastric Carcinoma
Godoy, Adriana R. N.
Neoplasias Gastrointestinais
Ascite Quilosa
Adenocarcinoma
Gastrointestinal Neoplasms
Chylous Ascites
Adenocarcinoma
title_short Chylous Ascites (Chyloperitoneum) as an Initial Sign of Gastric Carcinoma
title_full Chylous Ascites (Chyloperitoneum) as an Initial Sign of Gastric Carcinoma
title_fullStr Chylous Ascites (Chyloperitoneum) as an Initial Sign of Gastric Carcinoma
title_full_unstemmed Chylous Ascites (Chyloperitoneum) as an Initial Sign of Gastric Carcinoma
title_sort Chylous Ascites (Chyloperitoneum) as an Initial Sign of Gastric Carcinoma
author Godoy, Adriana R. N.
author_facet Godoy, Adriana R. N.
Lacerda, Cláudio S.
Carvalho, Mauricio
author_role author
author2 Lacerda, Cláudio S.
Carvalho, Mauricio
author2_role author
author
dc.contributor.author.fl_str_mv Godoy, Adriana R. N.
Lacerda, Cláudio S.
Carvalho, Mauricio
dc.subject.por.fl_str_mv Neoplasias Gastrointestinais
Ascite Quilosa
Adenocarcinoma
Gastrointestinal Neoplasms
Chylous Ascites
Adenocarcinoma
topic Neoplasias Gastrointestinais
Ascite Quilosa
Adenocarcinoma
Gastrointestinal Neoplasms
Chylous Ascites
Adenocarcinoma
description Chylous ascites is a rare clinical condition, characterized by ascites of a milky aspect and an ascitic concentration of triglycerides higher than 1000 mg/dl, or 2 to 8 times higher than in serum. We report a case of a 68 year-old male who presented with a 10kg weight loss and abdominal distention. Ascitic fluid was chylous, with triglycerides of 890 mg/dl (triglycerides in serum – 59 mg/dl). An abdominal CT scan revealed ascites and signs of chronic hepatic failure. An upper gastrointestinal endoscopy showed an invasive tumor in antrum. Gastric biopsy was diagnostic of a poorly differentiated adenocarcinoma. In conclusion, gastric adenocarcinoma should be included in differential diagnoses of chylous ascites in adults, together with lymphomas and other malignancies.
publishDate 2001
dc.date.none.fl_str_mv 2001-06-29
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/2328
10.32635/2176-9745.RBC.2001v47n2.2328
url https://rbc.inca.gov.br/index.php/revista/article/view/2328
identifier_str_mv 10.32635/2176-9745.RBC.2001v47n2.2328
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/2328/1452
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 47 No. 2 (2001): Apr./May/June; 159-161
Revista Brasileira de Cancerologia; Vol. 47 Núm. 2 (2001): abr./mayo/jun.; 159-161
Revista Brasileira de Cancerologia; v. 47 n. 2 (2001): abr./maio/jun.; 159-161
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
_version_ 1797042250136420352

Registros relacionados