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Chylous ascites secondary to Hodgkin’s lymphoma in a HIV/aids patient: case report and literature review
- Source :
- Medicina, Vol 50, Iss 5 (2017)
- Publication Year :
- 2017
- Publisher :
- Universidade de São Paulo, 2017.
-
Abstract
- Study design: case report. Case report: Man, 42 years old, diagnosed with aids two years ago, had developed enlarging in abdominal volume six months from admission. Computed tomography imaging showed free liquid in peritoneal cavity and increased retroperitoneal and mesenteric lymph nodes, besides splenomegaly. Ascitic fluid had milky appearance and high triglycerides levels. Hodgkin's lymphoma (mixed cellularity) was confirmed by histopathological analysis of a video-laparoscopic lymph node biopsy, Ann Arbor IIIS staging. Chemotherapy and continuation of highly active antiretroviral therapy resulted in weight gain and reduction of abdominal volume. Chylous ascites is a rare condition, which has a vast differential diagnosis. Discussion: In our review, the majority (15/18, 83%) of chylous ascites in HIV/aids-patients are due to infectious causes (mainly Mycobacterium avium complex and tuberculosis infection), in highly immunocompromised patients (mean TCD4=87cell/mL). To the best of our knowledge, this is the first case of chylous ascites secondary to Hodgkin’s lymphoma in a patient with aids.
- Subjects :
- AIDS-Related
medicine.medical_specialty
Tuberculosis
medicine.diagnostic_test
business.industry
lcsh:R
Lymph node biopsy
Chylous Ascites. AIDS. Hodgkin Disease. Venous Thrombosis. Lymphoma
lcsh:Medicine
General Medicine
medicine.disease
Hodgkin's lymphoma
Gastroenterology
Lymphoma
Peritoneal cavity
medicine.anatomical_structure
Chylous ascites
Internal medicine
Medicine
Mesenteric lymph nodes
Differential diagnosis
business
Subjects
Details
- Language :
- Portuguese
- ISSN :
- 21767262 and 00766046
- Volume :
- 50
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Medicina
- Accession number :
- edsair.doi.dedup.....043d562ca9ed6a5dbbc138786139c922