yemenjmedYemen Journal of MedicinecoVolume 2 Issue 2 MultidisciplinaryEnglishMay-August 2023NNY20230928ArticleChylous ascites associated with primary pulmonary hypertension: A case report and literature reviewEnglishY105107AmmarKhan1EnglishNAbdo QaidLutf2EnglishYAhmed MahmoudMostafa3EnglishY10.32677/yjm.v2i2.3664Chylous ascites is a rare condition that results from the accumulation of lymph in the abdominal cavity through a variety of mechanisms. We hereby report a case of chylous ascites in a 67-year-old woman who was admitted to our hospital with abdominal distension, bilateral lower extremity edema, and shortness of breath on exertion. The patient had a long history of primary pulmonary hypertension, cor pulmonale, and diabetes mellitus. Imaging studies revealed massive peritoneal fluid, which, after drainage, was found to be consistent with chylous ascites. The patient received high doses of diuretics with a marked improvement in symptoms over the following days. There was no reaccumulation of ascites by the time of discharge. To the best of our knowledge, there are few cases in the literature where chylous ascites has been reported in association with primary pulmonary hypertension.EnglishChylous ascites, Diuretics, Pulmonary hypertension, Right ventricular failurehttps://yemenjmed.com/admin/abstract?id=65References1619Bhardwaj R, Vaziri H, Gautam A, et al. Chylous Ascites: A Review of Pathogenesis, Diagnosis and Treatment. J Clin Transl Hepatol. 2018 Mar 28;6(1):105-113Cand;aacute;rdenas, A. Chylous ascites. The American Journal of Gastroenterology. 2002;97(8), 1896-1900. Gand;uuml;neri S, Nazli C, Kinay O, et al. Chylous ascites due to constrictive pericarditis. Int J Card Imaging. 2000 Feb;16(1):49-54.Hurley MK, Emiliani VJ, Comer GM, et al. Dilated cardiomyopathy associated with chylous ascites. Am J Gastroenterol. 1989 Dec;84(12):1567-9.Ridruejo E, Mandand;oacute; OG. Chylous ascites as the main manifestation of left ventricular dysfunction: A case report. BMC Gastroenterology. 2005;5(1). Levy P, Abadia R, Christoforov B, et al. Chylous ascites complicating ischemic cardiopathy. Presse Med 1985;14:1291. [Abstract]Alvarez AB, Ibrahim S, Saggar R. Chylous Ascites in a Case With Right Heart Failure Secondary to Pulmonary Hypertension. Chest. 2012 Oct 1;142(4):130A.Zeng W, Hu Y, Feng J, et al. Chylous ascites following repair of total anomalous pulmonary venous connection coexisting with a persistent left superior vena cava in a neonate: a case report. Transl Pediatr. 2021 Jan;10(1):188-193.Dash D, Jaladi HC, Nakka S, et al. An Uncommon Cause of Chylous Ascites in an Infant. Indian J Pediatr. 2022;89:1268Villena V, De Pablo A, Martin-Escribano P. Chylothorax and chylous ascites due to heart failure. 1995;Eur Respir J 8: 1235-1236Dumont AE, Clauss RH, Reed GA, et al. Lymph drainage in patients with congestive heart failure: comparison with findings in hepatic cirrhosis. N Engl J Med 1963; 269: 949and;ndash;952.Wilkinson P, Pinto B, Senior JR. Reversible protein-losing enteropathy with intestinal lymphangiectasia secondary to chronic constrictive pericarditis. N Engl J Med 1965; 173: 1178and;ndash;1181