{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T12:35:36Z","timestamp":1774614936770,"version":"3.50.1"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T00:00:00Z","timestamp":1677456000000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,2,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Chylous ascites is a rare condition found in 1 in 20\u2009000 patients admitted to hospital with abdominal distention. It is caused by a limited number of pathologies but can, in rare situations, be idiopathic. Its management is difficult and usually involves correcting the primary pathology, making idiopathic chylous ascites particularly difficult to manage. We present a case of idiopathic chylous ascites extensively investigated over a period of several years. An incidental finding of B cell lymphoma was initially suspected to have been the primary cause of the ascites; however, after successful treatment of this condition, the patient\u2019s ascites did not resolve. Diagnostic difficulties and management are discussed and an overview of the diagnostic process is outlined through this case.<\/jats:p>","DOI":"10.1093\/omcr\/omad009","type":"journal-article","created":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T13:26:00Z","timestamp":1677504360000},"source":"Crossref","is-referenced-by-count":3,"title":["A case of idiopathic chylous ascites"],"prefix":"10.1093","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5646-2309","authenticated-orcid":false,"given":"Adina","family":"Olaru","sequence":"first","affiliation":[{"name":"Queen\u2019s Medical Centre Nottingham University Hospitals NHS Trust, , Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suresh V","family":"Venkatachalapathy","sequence":"additional","affiliation":[{"name":"Nottingham University and Nottingham University Hospitals NHS Trust, Queen\u2019s Medical Centre Nottingham Digestive Diseases Centre (NDDC) and National Institute for Health Research (NIHR), Nottingham Biomedical Research Centre (BRC), , Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"James","sequence":"additional","affiliation":[{"name":"Nottingham University and Nottingham University Hospitals NHS Trust, Queen\u2019s Medical Centre National Institute for Health Research (NIHR), Nottingham Biomedical Research Centre (BRC), , Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Martinez-Calle","sequence":"additional","affiliation":[{"name":"City Hospital Nottingham University Hospitals NHS Trust, , Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,2,27]]},"reference":[{"key":"2023022713255254200_","doi-asserted-by":"crossref","first-page":"358","DOI":"10.7326\/0003-4819-96-3-358","article-title":"Evaluation and management of chylous ascites","volume":"96","author":"Press","year":"1982","journal-title":"Ann Intern Med"},{"key":"2023022713255254200_","first-page":"260","article-title":"Chylous ascites: diagnosis, causes and treatment","volume":"63","author":"Laterre","year":"2000","journal-title":"Acta Gastroenterol Belg"},{"key":"2023022713255254200_","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1634\/theoncologist.10-8-632","article-title":"Lymphomas and chylous ascites: review of the literature","volume":"10","author":"Almakdisi","year":"2005","journal-title":"Oncologist"},{"key":"2023022713255254200_","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1111\/apt.14284","article-title":"Review article: the diagnostic approach and current management of chylous ascites","volume":"46","author":"Lizaola","year":"2017","journal-title":"Aliment Pharmacol Ther"},{"key":"2023022713255254200_","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1097\/MEG.0b013e328349aa2d","article-title":"Idiopathic chylous ascites treated with total parenteral nutrition and octreotide. A case report and review of the literature","volume":"23","author":"Yildirim","year":"2011","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"2023022713255254200_","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/0016-5085(90)91303-N","article-title":"Total paracentesis associated with intravenous albumin management of patients with cirrhosis and ascites","volume":"98","author":"Tito","year":"1990","journal-title":"Gastroenterology"},{"key":"2023022713255254200_","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1016\/j.jvsv.2017.03.011","article-title":"Management of refractory chylous ascites with peritoneovenous shunts","volume":"5","author":"Huang","year":"2017","journal-title":"J Vasc Surg Venous Lymphat Disord"},{"key":"2023022713255254200_","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1067\/mva.2001.118800","article-title":"Treatment of symptomatic primary chylous disorders","volume":"34","author":"Noel","year":"2001","journal-title":"J Vasc Surg"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2023\/2\/omad009\/49342746\/omad009.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2023\/2\/omad009\/49342746\/omad009.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,26]],"date-time":"2023-03-26T17:36:46Z","timestamp":1679852206000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omad009\/7058737"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,1]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,2,1]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omad009","relation":{},"ISSN":["2053-8855"],"issn-type":[{"value":"2053-8855","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,2]]},"published":{"date-parts":[[2023,2,1]]},"article-number":"omad009"}}