Chylous Ascites Due to Hyperthyroidism and Heart Failure

Masaki Uchihara; Jun Ehara; Keiichi Iwanami; Koichi Kitamura; Toshihiko Suzuki; Noriyoshi Ishizuka; Toru Yamada; Eiji Hiraoka

doi:10.2169/internalmedicine.7873-21

Chylous Ascites Due to Hyperthyroidism and Heart Failure

Masaki Uchihara, Jun Ehara, Keiichi Iwanami, Koichi Kitamura, Toshihiko Suzuki, Noriyoshi Ishizuka, Toru Yamada, Eiji Hiraoka

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Abstract

Chylous ascites (CA) is the accumulation of fluid with a high triglyceride content in the peritoneal cavity. Only two cases in the literature have reported CA with hyperthyroidism. A 28-year-old previously healthy woman presented with gradual-onset abdominal swelling, exertional dyspnea, and diarrhea. Hyperthyroidism and heart failure were diagnosed using laboratory investigation and echocardiography. Ultrasonography revealed a large amount of ascites. The ascitic fluid was milky with elevated triglyceride levels. Treatment with anti-thyroid therapy and diuretics improved all symptoms, and the free triiodothyronine (T3) level normalized after five days. Hyperthyroidism and heart failure should be considered as reversible causes of CA.

Original language	English
Pages (from-to)	1995-1998
Number of pages	4
Journal	Internal Medicine
Volume	61
Issue number	13
DOIs	https://doi.org/10.2169/internalmedicine.7873-21
Publication status	Published - 2022
Externally published	Yes

All Science Journal Classification (ASJC) codes

Internal Medicine

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.2169/internalmedicine.7873-21

Cite this

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title = "Chylous Ascites Due to Hyperthyroidism and Heart Failure",

abstract = "Chylous ascites (CA) is the accumulation of fluid with a high triglyceride content in the peritoneal cavity. Only two cases in the literature have reported CA with hyperthyroidism. A 28-year-old previously healthy woman presented with gradual-onset abdominal swelling, exertional dyspnea, and diarrhea. Hyperthyroidism and heart failure were diagnosed using laboratory investigation and echocardiography. Ultrasonography revealed a large amount of ascites. The ascitic fluid was milky with elevated triglyceride levels. Treatment with anti-thyroid therapy and diuretics improved all symptoms, and the free triiodothyronine (T3) level normalized after five days. Hyperthyroidism and heart failure should be considered as reversible causes of CA.",

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T1 - Chylous Ascites Due to Hyperthyroidism and Heart Failure

AU - Uchihara, Masaki

AU - Ehara, Jun

AU - Iwanami, Keiichi

AU - Kitamura, Koichi

AU - Suzuki, Toshihiko

AU - Ishizuka, Noriyoshi

AU - Yamada, Toru

AU - Hiraoka, Eiji

PY - 2022

Y1 - 2022

N2 - Chylous ascites (CA) is the accumulation of fluid with a high triglyceride content in the peritoneal cavity. Only two cases in the literature have reported CA with hyperthyroidism. A 28-year-old previously healthy woman presented with gradual-onset abdominal swelling, exertional dyspnea, and diarrhea. Hyperthyroidism and heart failure were diagnosed using laboratory investigation and echocardiography. Ultrasonography revealed a large amount of ascites. The ascitic fluid was milky with elevated triglyceride levels. Treatment with anti-thyroid therapy and diuretics improved all symptoms, and the free triiodothyronine (T3) level normalized after five days. Hyperthyroidism and heart failure should be considered as reversible causes of CA.

AB - Chylous ascites (CA) is the accumulation of fluid with a high triglyceride content in the peritoneal cavity. Only two cases in the literature have reported CA with hyperthyroidism. A 28-year-old previously healthy woman presented with gradual-onset abdominal swelling, exertional dyspnea, and diarrhea. Hyperthyroidism and heart failure were diagnosed using laboratory investigation and echocardiography. Ultrasonography revealed a large amount of ascites. The ascitic fluid was milky with elevated triglyceride levels. Treatment with anti-thyroid therapy and diuretics improved all symptoms, and the free triiodothyronine (T3) level normalized after five days. Hyperthyroidism and heart failure should be considered as reversible causes of CA.

KW - chylous ascites

KW - heart failure

KW - hyperthyroidism

KW - thyroid storm

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EP - 1998

JO - Internal Medicine

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Chylous Ascites Due to Hyperthyroidism and Heart Failure

Abstract

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