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Category: Volume 05 Issue 09 September 2017
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Title: Chylous Ascites in HIV/TB Co-Infections: Case Report, Challenges of Management in a Resource-Poor Setting and Literature Review

Authors: Olusegun Adesola Busari, Oluwaserimi Adewumi Ajetunmobi, Idowu Oluseyi Adebara, Olusegun Emmanuel Gabriel, Olumide Adewara, Olayide Elegbede, Olusogo Ebenezer Busari

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i9.67

Abstract

Chylous ascites is an uncommon clinical condition characterized by extravasation of milky chyle into the peritoneal cavity usually as a result of either blockage of the lymphatics or leakage from inadvertent trauma during surgeries. This is a report of a case of chylous ascites in a 32-year old Nigerian with HIV/TB co-infections. The report also highlights the challenges associated with management of chylous ascites in a resource-poor setting. The patient was managed conservatively with diuretic therapy, salt and fluid restrictions and elevation of the lower limbs. Although, the ascites re-accumulated initially, it finally resolved and she was followed up for at least six months with no recurrence.

Keywords: Chylous ascites, HIV/TB co-infections, resource-poor settings, management challenges.

 

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Corresponding Author

Olusegun Adesola Busari

Department of Internal Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria

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