Chylous Ascites in an Adult Patient with Nephrotic Syndrome due to Membranous Nephropathy

Chylous ascites during peritoneal dialysisin a toddler: a rare complication

“…Chylous ascites as a complication of PD has been well reported in adults 7–11. However, literature regarding its prevalence in paediatric population is lacking.…”

Chyloperitoneum Associated with Relapse of Nephrotic Syndrome

“…In conclusion, chyloperitoneum associated with nephrotic syndrome is very rare disorder [3–5]. Lipoprotein electrophoresis is useful for confirmation of the diagnosis with chyloperitoneum.…”

Renal Thrombotic Microangiopathy, Podocytopathy, and Chylous Ascites: A Hard-Nosed Diagnosis

“…2 Severe hypoalbuminemia from nephrotic syndrome has been postulated to predispose to bowel edema and changes in the permeability of the mucosal or serosal lymphatics, resulting in the leakage of chylomicrons into the peritoneal cavity. 3 We identified 11 cases of proteinuric glomerulonephritis associated with chylous ascites in the medical literature, of which only 4 cases were recognized as focal segmental glomerulosclerosis ( Table 2), and all were associated with severe hypoalbuminemia, with a serum albumin < 2.0 g/dL ( Table 2). [2][3][4][5][6][7][8][9][10][11][12] Lymphatic obstruction and abnormal lymphatic drainage has been described in both nephrotic and nonnephrotic patients with chylous ascites.…”

“…3 We identified 11 cases of proteinuric glomerulonephritis associated with chylous ascites in the medical literature, of which only 4 cases were recognized as focal segmental glomerulosclerosis ( Table 2), and all were associated with severe hypoalbuminemia, with a serum albumin < 2.0 g/dL ( Table 2). [2][3][4][5][6][7][8][9][10][11][12] Lymphatic obstruction and abnormal lymphatic drainage has been described in both nephrotic and nonnephrotic patients with chylous ascites. 1,2 Our nephrotic patient had no abnormal lymph leakage or obstruction, as demonstrated by normal lymphoscintigraphy (Figure 3A).…”