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Management of chylous ascites after liver cirrhosis: A case report.

World J Hepatol

January 2025

Department of Gastroenterology, Huizhou Central People's Hospital, Huizhou 516000, Guangdong Province, China.

Background: Chylous ascites is an uncommon condition, occurring in less than 1% of ascites cases. It results from traumatic or obstructive disruption of the lymphatic system, causing the leakage of thoracic or intestinal lymph into the abdominal cavity. This leads to the accumulation of a milky, triglyceride-rich fluid.

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Extra-adrenal, functional paraganglioma, if not medically controlled, requires early surgical resection. This can often be challenging when found in a retroperitoneal location, where resections are prone to lymphatic disruption and chyle leaks. Chylous ascites carry a significant risk of protein and caloric malnutrition, dehydration, and even mortality given the nutrient-rich characteristic of lost lymphatic fluid.

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Article Synopsis
  • There has been a growing interest in finding safe and effective anticancer compounds from medicinal plants, leading to an investigation of 15 Bangladeshi plants for their antioxidant and antiproliferative properties.
  • The study found that bark extracts had the strongest ability to scavenge free radicals and showed high antiproliferative effects against cancer cells, especially MCF-7 cells.
  • Phytochemical analysis identified 18 active compounds in the bark, with oxalic acid and cyclohexyl dodecyl ester showing the most potential against breast cancer, highlighting the bark's promise in cancer treatment.
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Ovarian cancer extracellular vesicle biomarkers.

Clin Chim Acta

January 2025

Department of Medical Genetics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

Ovarian cancer (OC) remains a significant women's health concern due to its high mortality rate and the challenges posed by late detection. Exploring novel biomarkers could lead to earlier, more specific diagnoses and improved survival rates for OC patients. This review focuses on biomarkers associated with extracellular vesicles (EVs) found in various proximal fluids, including urine, ascites, utero-tubal lavage fluid of OC patients.

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Article Synopsis
  • * A case study involved a 65-year-old man with a history of necrotizing pancreatitis and portal hypertension, where chylous ascites was found unexpectedly during elective umbilical hernia surgery.
  • * The patient was treated successfully with a recommendation for a high-protein, low-fat diet, and the case highlighted the need to consider various underlying causes when encountering unexpected medical findings.
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