Two Cases of Atraumatic Chylous Ascites Characterized by Hypotriglyceridemia and Partially Managed with an Oral Fat-Free Elemental Diet

Michihiro Kamigaki; Satoko Kunita; Makoto Nakano; Miwako Tanaka; Shinya Aoki; Katsutoshi Tsuga; Hiroyuki Ito; Hideo Matsuura

doi:10.1155/2020/7641476

Two Cases of Atraumatic Chylous Ascites Characterized by Hypotriglyceridemia and Partially Managed with an Oral Fat-Free Elemental Diet

Case Rep Gastrointest Med. 2020 Jan 7:2020:7641476. doi: 10.1155/2020/7641476. eCollection 2020.

Authors

Michihiro Kamigaki¹, Satoko Kunita¹, Makoto Nakano¹, Miwako Tanaka¹, Shinya Aoki¹, Katsutoshi Tsuga¹, Hiroyuki Ito¹, Hideo Matsuura¹

Affiliation

¹ Department of Internal Medicine, Saiseikai Kure Hospital, 2-1-13 Sanjo, Kure City, Hiroshima Prefecture 737-0821, Japan.

Abstract

Most cases of chylous ascites occur after surgery, but it also develops in nonoperative cases, although rarely. Such cases are often difficult to treat. In this study, we treated 2 cases of atraumatic chylous ascites, which were controlled by combining diuretic treatment with an oral fat-free elemental diet (Elental®, EA Pharma Co., Ltd., Tokyo, Japan). Elental can provide oral nutrition compatible with a lipid-restricted diet, which may be useful for control of chylous ascites. We report on these cases, including literature review-based considerations.

Publication types

Case Reports