Management of chylous pleural and peritoneal effusions in a cirrhotic patient: A case report and review of literature.

ABSTRACT: This case report details the management of a patient with cirrhosis who developed chylous pleural and peritoneal effusions. The patient, with a 28-year history of untreated hepatitis B, presented with dyspnea and cough after traveling to a high-altitude area. Imaging and laboratory tests confirmed the presence of chylous effusions. Treatment included thoracentesis, paracentesis, antibiotics, somatostatin analogs, and supportive care. The patient showed significant improvement and was discharged with no recurrence at follow-up. This case highlights the importance of early diagnosis and conservative management of chylous effusions in cirrhosis, emphasizing the potential role of somatostatin analogs in reducing effusion formation and promoting lymphatic healing.

SUBMITTER: Ju X 

PROVIDER: S-EPMC12417640 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature