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A case of gallbladder cancer manifesting chylous ascites and chylothorax

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Summary

A case of gallbladder cancer manifesting both chylous ascites and chylothorax was reported. A 66-year-old man was hospitalized with milky ascites. The patient was diagnosed as having gallbladder cancer based on findings of endoscopic retrograde cholangiopancreatography (ERCP) and celiac angiography. The diagnosis of chylous ascites was confirmed by the presence of microscopically visible free fat and the biochemical analysis of the fluid. The patient also gradually developed chylous thoracic effusion. Autopsy revealed lymphogenous metastasis in multiple retroperitoneal and mediastinal nodes. Chylothorax and chyloperitoneum are relatively rare. Only five cases have been reported in Japan that manifested both conditions.

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Authors and Affiliations

  1. Department of Gastroenterology, Mitsui Memorial Hospital, 1, Kandaizumi-cho, Chiyoda-ku, 101, Tokyo, Japan

    Shuichiro Shiina M.D., Masamichi Ohshima, Hitoshi Fujino, Hiroyuki Muto, Hiroshi Yasuda, Takao Kawabe, Kazumi Tagawa & Tadao Unuma

  2. Departments of Radiology, Mitsui Memorial Hospital, 101, Tokyo, Japan

    Kenji Ibukuro & Yosihiro Inoue

  3. Departments of Pathology, Mitsui Memorial Hospital, 101, Tokyo, Japan

    Riichiro Takanashi

Authors
  1. Shuichiro Shiina M.D.
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  2. Masamichi Ohshima
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  3. Hitoshi Fujino
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  4. Hiroyuki Muto
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  5. Hiroshi Yasuda
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  6. Takao Kawabe
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  7. Kazumi Tagawa
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  8. Tadao Unuma
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  9. Kenji Ibukuro
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  10. Yosihiro Inoue
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  11. Riichiro Takanashi
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Shiina, S., Ohshima, M., Fujino, H. et al. A case of gallbladder cancer manifesting chylous ascites and chylothorax. Gastroenterol Jpn 24, 209–213 (1989). https://doi.org/10.1007/BF02774199

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  • DOI: https://doi.org/10.1007/BF02774199

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