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2020, Number 4

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Rev Acta Médica 2020; 21 (4)

Relapsing Chylous Polyserositis

Concepción QF, Estrada NY, Calderín BRO, Yanes QMÁ, Martí CN

Language: Spanish
References: 19
Page: 1-14
PDF size: 355.25 Kb.


ABSTRACT

Introduction: Chylous polyserositis is a rare disease, characterized by lymph accumulation in the abdominal, pleural and pericardial cavities, regardless of its magnitude. Its diagnosis is determined through biochemical analysis of the corresponding biological fluid, in which high levels of triglycerides stand out. Chylous polyserositis and the identification of the associated cause constitute a true medical challenge, which, despite the use of multiple treatments, the response to these and the clinical evolution are not good, which leads to the death of the person due to associated complications.
Case presentation: 50-year-old male patient, admitted due to dyspnea and chest pain of fifteen days of evolution, with progressive worsening.
Methods: Clinical and radiological diagnosis of predominantly left bilateral pleural effusion, slight ascites and moderate-to-severe pericardial effusion was carried out, for which multiple investigations were performed, which were negative for malignancy. A deep vein thrombosis is diagnosed and treated with low molecular weight heparin.
Conclusions: The patient presented a state of malnutrition and severe sepsis, and died of severe pulmonary embolism as a complication of his disease. A postmortem diagnosis of lymphatic carcinomatosis due to adenocarcinoma in the gastric signet rings (focal plastic linitis) is made. This is a rare form of chylous polyserositis, a fact that motivates the presentation of this case, due to its rarity.


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