Korean J Gastrointest Endosc > Volume 41(6); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(6): 368-372.
유미복수를 동반한 자궁내막증 1예
성균관대학교 의과대학 서울삼성병원 내과학교실, *산부인과학교실
A Case of Endometriosis with Chylous Ascites
Yoon Jung Lee, M.D., Young Cheol Jo, M.D., Tae Hoon Jang, M.D., Bon Ho Ku, M.D., Chi Hoon Kim, M.D., Hye Yon Park, M.D., Kwang Hyuk Lee, M.D. and Jeong Won Lee, M.D.*
Departments of Internal Medicine, *Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Chylous ascites is the extravasation into the peritoneal cavity of milky chyle that is rich in triglycerides. Sixty to seventy percent of chylous ascites cases are caused by cirrhotic liver disease, congestive heart failure, or malignancy. The most common malignancy associated with chylous ascites is lymphoma. Rarely, tuberculosis has been reported as a cause of chylous ascites. Appropriately, lymphoma, ovarian cancer or tuberculosis is considered first in the differential diagnosis when a young woman of reproductive age presents with chylous ascites. Recently, we examined a 26-year-old woman who visited our hospital because of abdominal distension. Ascites tapping, esophagogastroduodenoscopy, colonoscopy and diagnostic laparoscopic biopsy led to a diagnosis of intraperitoneal endometriosis with chylous ascites. To date, some cases of endometriosis complicated by massive ascites have been reported. However, endometriosis complicated by chylous ascites has not been previously reported. The case was successfully treated using a gonadotropin-releasing hormone agonist and diuretics. (Korean J Gastrointest Endosc 2010;41:368-372)
Key Words: Chylous ascites, Endometriosis
주요어: 유미복수, 자궁내막증
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