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Bhardwaj R, Vaziri H, Gautam A, Ballesteros E, Karimeddini D, Wu GY. Chylous ascites: a review of pathogenesis, diagnosis and treatment. J Clin Transl Hepatol. 2018; 6: 105-113.","DOI":"10.14218\/JCTH.2017.00035"},{"key":"2","doi-asserted-by":"crossref","unstructured":"2. Santos E, Moussa AM. Chylous ascites and lymphoceles: evaluation and interventions. Semin Intervent Radiol. 2020; 37: 274-284.","DOI":"10.1055\/s-0040-1713445"},{"key":"3","doi-asserted-by":"crossref","unstructured":"3. Aalami OO, Allen DB, Organ CH, Jr. Chylous ascites: a collective review. Surgery. 2000; 128: 761-778.","DOI":"10.1067\/msy.2000.109502"},{"key":"4","doi-asserted-by":"crossref","unstructured":"4. C\u00e1rdenas A, Chopra S. Chylous ascites. Am J Gastroenterol. 2002; 97: 1896-1900.","DOI":"10.1016\/S0002-9270(02)04268-5"},{"key":"5","doi-asserted-by":"crossref","unstructured":"5. Kaas R, Rustman LD, Zoetmulder FA. Chylous ascites after oncological abdominal surgery: incidence and treatment. 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