{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T15:57:33Z","timestamp":1786550253991,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>\n                    <jats:bold>ABSTRACT<\/jats:bold>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>Retroperitoneal fibrosis is a rare condition characterized by chronic inflammation and marked fibrosis of the retroperitoneal tissue, often leading to entrapment of abdominal organs. We report a 69-year-old white man who presented with a 5-week history of gradual onset of progressive abdominal distension. He had no history or risk factors for an underlying liver condition. Ascites and a retroperitoneal mass encasing the major abdominal vessels were revealed on imaging. Biopsies of the mass confirmed the presence of retroperitoneal fibrosis, and the ascitic fluid was milky, consistent with chylous ascites. We discuss this rare presentation and the challenges of treatment for chylous ascites caused by RPF, including the role for supportive treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.14309\/crj.2017.115","type":"journal-article","created":{"date-parts":[[2017,11,16]],"date-time":"2017-11-16T10:42:27Z","timestamp":1510828947000},"page":"e115","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Retroperitoneal Fibrosis as a Cause of Chylous Ascites"],"prefix":"10.14309","volume":"4","author":[{"given":"Adnan Ur","family":"Rahman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajeswari","family":"Ramaraj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emyr","family":"Humphreys","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Slowinska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"9506","key":"R1-115-20260710","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/S0140-6736(06)68035-5","article-title":"Retroperitoneal fibrosis.","volume":"367","author":"Vaglio","year":"2006","journal-title":"Lancet"},{"issue":"9788","key":"R2-115-20260710","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1016\/S0140-6736(11)60934-3","article-title":"Prednisone versus tamoxifen in patients with idiopathic retroperitoneal fibrosis: An open-label randomised controlled trial.","volume":"378","author":"Vaglio","year":"2011","journal-title":"Lancet"},{"issue":"5","key":"R3-115-20260710","first-page":"637","article-title":"Idiopathic retroperitoneal fibrosis.","volume":"26","author":"Sakai","year":"1976","journal-title":"Acta Pathol Jpn"},{"issue":"8","key":"R4-115-20260710","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"},{"issue":"8","key":"R5-115-20260710","doi-asserted-by":"crossref","first-page":"1896","DOI":"10.1016\/S0002-9270(02)04268-5","article-title":"Chylous ascites.","volume":"97","author":"Cardenas","year":"2002","journal-title":"Am J Gastroenterol"},{"issue":"5","key":"R6-115-20260710","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1016\/j.jamcollsurg.2011.01.010","article-title":"Atraumatic chylous ascites: Systematic review on symptoms and causes.","volume":"212","author":"Steinemann","year":"2011","journal-title":"J Am Coll Surg"},{"issue":"4","key":"R7-115-20260710","first-page":"69","article-title":"Obolon czyk L. Retroperitoneal fibrosis with pancreatic involvement: Radiological appearance.","volume":"76","author":"Zielonko","year":"2011","journal-title":"Pol J Radiol"},{"key":"R8-115-20260710","doi-asserted-by":"crossref","first-page":"240473","DOI":"10.1155\/2014\/240473","article-title":"Chylous ascites: Evaluation and management.","volume":"2014","author":"Al-Busafi","year":"2014","journal-title":"ISRN Hepatol"},{"issue":"2","key":"R9-115-20260710","doi-asserted-by":"crossref","first-page":"423","DOI":"10.2214\/AJR.07.3629","article-title":"Retroperitoneal fibrosis: A review of clinical features and imaging findings.","volume":"191","author":"Cronin","year":"2008","journal-title":"AJR Am J Roentgen"},{"issue":"9419","key":"R10-115-20260710","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.1016\/S0140-6736(04)16100-X","article-title":"Asbestos exposure as a risk factor for retroperitoneal fibrosis.","volume":"363","author":"Uibu","year":"2004","journal-title":"Lancet"},{"issue":"2","key":"R11-115-20260710","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/S0022-5347(17)54466-3","article-title":"Computerized tomography in the diagnosis of retroperitoneal fibrosis.","volume":"126","author":"Feinstein","year":"1981","journal-title":"J Urol"},{"issue":"9","key":"R12-115-20260710","doi-asserted-by":"crossref","first-page":"1584","DOI":"10.1136\/annrheumdis-2013-203267","article-title":"Methotrexate plus prednisone in patients with relapsing idiopathic retroperitoneal fibrosis.","volume":"72","author":"Alberici","year":"2013","journal-title":"Ann Rheum Dis"},{"issue":"10","key":"R13-115-20260710","doi-asserted-by":"crossref","first-page":"1535","DOI":"10.1093\/rheumatology\/ken291","article-title":"Successful mycophenolate mofetil therapy in nine patients with idiopathic retroperitoneal fibrosis.","volume":"47","author":"Adler","year":"2008","journal-title":"Rheumatology (Oxford)"}],"container-title":["ACG Case Reports Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/02075970-201704000-00115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T15:20:26Z","timestamp":1786548026000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/02075970-201704000-00115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.14309\/crj.2017.115","relation":{},"ISSN":["2326-3253"],"issn-type":[{"value":"2326-3253","type":"print"}],"subject":[],"published":{"date-parts":[[2017,1]]}}}