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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