Tsuchiya, M.; Okazaki, I.; Maruyama, K.; Saskura, H.; Morita, A.
October 1973
Angiology;Oct1973, Vol. 24 Issue 9, p576
Academic Journal
The criteria of chylous ascites and the mechanism of its formation were discussed here based on the authors' case. The criteria proposed as follows: 1) Free fat microscopically, 2) Transfer of milky turbid substance from the lower layer to the upper layer by chyle separating method using ultracentrifugation, 3) Biochemical and electron microscopical demonstration of milky turbid sub- stance being chylomicron. Lymphangiographic demonstration of the present ease showed no leakage of contrast material from lymphatic canals into the peritoneal cavity, but suggested hypoplasia of the lymphatic system. Hypoplasia of the lymphatic system might be one of the significant findings on the mechanism of chyle transudation. In addition, 85 cases of chylous ascites in the Japanese literature were also discussed.


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