Chylous Ascites Due to Hyperthyroidism and Heart Failure

被引：2

作者：

Uchihara, Masaki ^{[1
,2
]}

Ehara, Jun ^{[1
,3
]}

Iwanami, Keiichi ^{[1
,4
]}

Kitamura, Koichi ^{[5
]}

Suzuki, Toshihiko ^{[5
]}

Ishizuka, Noriyoshi ^{[1
]}

Yamada, Toru ^{[1
,6
]}

Hiraoka, Eiji ^{[1
]}

机构：

[1] Tokyo Bay Urayasu Ichikawa Med Ctr, Dept Internal Med, Urayasu, Chiba, Japan

[2] Tokyo Med & Dent Univ Hosp, Dept Profess Dev, Tokyo, Japan

[3] Tokyo Bay Urayasu Ichikawa Med Ctr, Dept Pulm Med, Urayasu, Chiba, Japan

[4] Tokyo Bay Urayasu Ichikawa Med Ctr, Dept Rheumatol, Urayasu, Chiba, Japan

[5] Tokyo Bay Urayasu Ichikawa Med Ctr, Dept Nephrol Endocrinol & Diabet, Urayasu, Chiba, Japan

[6] Tokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Family Med, Tokyo, Japan

来源：

INTERNAL MEDICINE | 2022年 / 61卷 / 13期

关键词：

chylous ascites; thyroid storm; hyperthyroidism; heart failure; CHYLOTHORAX; MANAGEMENT; PATIENT;

D O I：

10.2169/internalmedicine.7873-21

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 re-vealed 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.

引用

页码：1995 / 1998

页数：4

共 16 条

[1] Diagnostic Criteria, Clinical Features, and Incidence of Thyroid Storm Based on Nationwide Surveys
Akamizu, Takashi
Satoh, Tetsurou
Isozaki, Osamu
Suzuki, Atsushi
Wakino, Shu
Iburi, Tadao
Tsuboi, Kumiko
Monden, Tsuyoshi
Kouki, Tsuyoshi
Otani, Hajime
Teramukai, Satoshi
Uehara, Ritei
Nakamura, Yosikazu
Nagai, Masaki
Mori, Masatomo
[J]. THYROID, 2012, 22 (07) : 661 - 679
[2] Al-Busafi Said A, 2014, ISRN Hepatol, V2014, P240473, DOI 10.1155/2014/240473
[3] Chylous Ascites: A Review of Pathogenesis, Diagnosis and Treatment
Bhardwaj, Richa
Vaziri, Haleh
Gautam, Arun
Ballesteros, Enrique
Karimeddini, David
Wu, George Y.
[J]. JOURNAL OF CLINICAL AND TRANSLATIONAL HEPATOLOGY, 2018, 6 (01) : 105 - 113
[4] LIFE-THREATENING THYROTOXICOSIS - THYROID STORM
BURCH, HB
WARTOFSKY, L
[J]. ENDOCRINOLOGY AND METABOLISM CLINICS OF NORTH AMERICA, 1993, 22 (02) : 263 - 277
[5] Development of chylothorax and chylous ascites in a patient with congestive heart failure
Cakmak, Huseyin Altug
Yenidunya, Gulsah
Karadag, Bilgehan
Ongen, Zeki
[J]. TURK KARDIYOLOJI DERNEGI ARSIVI-ARCHIVES OF THE TURKISH SOCIETY OF CARDIOLOGY, 2011, 39 (06): : 495 - 498
[6] Serum B-Type Natriuretic Peptide in the Initial Workup of Patients With New Onset Ascites: A Diagnostic Accuracy Study
Farias, Alberto Q.
Silvestre, Odilson M.
Garcia-Tsao, Guadalupe
da Costa Seguro, Luis F. B.
de Campos Mazo, Daniel F.
Bacal, Fernando
Andrade, Jose L.
Goncalves, Luciana L.
Strunz, Celia
Ramos, Danusa S.
Polli, Demerson
Pugliese, Vincenzo
Rodrigues, Ana C. T.
Furtado, Meive S.
Carrilho, Flair J.
D'Albuquerque, Luiz A. C.
[J]. HEPATOLOGY, 2014, 59 (03) : 1043 - 1051
[7] Graves' disease with intractable diarrhea, chylous ascites, and chylothorax: A case report
Hiroi, Naoki
Sakamoto, Yasunari
Urita, Yoshihisa
Higa, Mariko
Kuboki, Koji
Yoshino, Gen
[J]. THYROID, 2007, 17 (12) : 1299 - 1303
[8] Chylous Ascites as a Manifestation of Thyrotoxic Cardiomyopathy in a Patient with Untreated Graves' Disease
Hsieh, Min-Huang
Chen, Ching-Chu
Wang, Tzu-Yuan
Chang, Chwen-Tzuei
[J]. THYROID, 2010, 20 (06) : 653 - 655
[9] Review article: the diagnostic approach and current management of chylous ascites
Lizaola, B.
Bonder, A.
Trivedi, H. D.
Tapper, E. B.
Cardenas, A.
[J]. ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2017, 46 (09) : 816 - 824
[10] Chylous ascites associated with atrioventricular valve regurgitation after Blalock-Taussig shunt
Ogasawara, M
Harada, K
Tamura, M
Ito, T
Kishkurno, S
Takada, G
[J]. JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 1996, 23 (04) : 501 - 503

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