Bilateral high-flow chylothorax and chylous ascites as the initial manifestation of follicular-type non-Hodgkin lymphoma

Quilotórax bilateral de alto flujo y ascitis quilosa como manifestación inicial de linfoma no Hodgkin tipo folicular

Published 2024-12-05

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Vol. 11 No. 2 (2024): Julio - Diciembre
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Clinic cases
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Bilateral high-flow chylothorax and chylous ascites as the initial manifestation of follicular-type non-Hodgkin lymphoma.
Rev. colomb. hematol. oncol. [Internet]. 2024 Dec. 5 [cited 2024 Dec. 22];11(2):84-92. Disponible en: https://doi.org/10.51643/22562915.686
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Natalia Cordoba Pulido
Clinica del Occidente
    https://orcid.org/0000-0003-4966-8338
    Laura Katherine Rodriguez Prieto
    Clínica del Occidente, Bogotá, Colombia.
      https://orcid.org/0000-0001-5078-7970
      Show authors biography

      Natalia Cordoba Pulido,

      Médica Internista, Fellow Infectología. Servicio de Medicina Interna, Clínica del Occidente.

      Laura Katherine Rodriguez Prieto,

      Médica general, Médica hospitalización, Servicio de Medicina Interna, Clínica del Occidente.

      Chylothorax and chylous ascites are rare pathologies, with a high rate of mortality if untreated promptly, mostly associated with an active oncology disease.  In the current evidence, we found just a few case reports and observational studies.  Clinical case: We report a case of a 66-year-old woman, who presents with a chylothorax and possible chylous ascites, CT scan showed para- aortic mass and immunohistochemical analysis showed a follicular lymphoma. Regarding the chylothorax, we discuss the diversity of their clinical characteristics, limitations of the diagnosis, treatment possibilities and facilitating pathophysiological mechanisms. Conclusion: In the context of non-traumatic chylothorax, clinical suspicion, early diagnosis and timely management are essential given the high mortality described when left untreated.

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