AI Article Synopsis
- Chylothorax and chylous ascites are rare conditions typically linked to trauma or tumors, and this case discusses their occurrence due to constrictive pericarditis in an HIV patient, which is unprecedented.
- A 39-year-old Thai man presented with breathing difficulties, swelling, and abdominal issues, linked to his history of HIV and pulmonary tuberculosis that led to constrictive pericarditis.
- A surgical procedure called pericardiectomy alleviated his symptoms, highlighting the need to consider constrictive pericarditis as a rare but reversible cause of these conditions.
Article Abstract
Introduction: Chylothorax and chylous ascites are uncommon and usually associated with trauma or neoplasms. To the best of our knowledge, constrictive pericarditis leading to chylothorax and chylous ascites in a person infected with HIV has never previously been described.
Case Presentation: A 39-year-old Thai man was referred to our institute with progressive dyspnea, edema and abdominal distension. His medical history included HIV infection and pulmonary tuberculosis that was complicated by tuberculous pericarditis and cardiac tamponade. Upon further investigation, we found constrictive pericarditis, chylothorax and chylous ascites. A pericardiectomy was performed which resulted in gradual resolution of the ascites and chylous effusion.
Conclusions: Although constrictive pericarditis is an exceptionally rare cause of chylothorax and chylous ascites, it should nonetheless be considered in the differential diagnosis as a potentially reversible cause.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3407757 | PMC |
| http://dx.doi.org/10.1186/1752-1947-6-163 | DOI Listing |
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