Chronic lymphocytic leukemia presenting with massive chylous ascites.

Davis, M N; Alloy, A M; Chiesa, J C; Pecora, A A · Am J Gastroenterol · 1990

case_report · Level V

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Abstract

A newly diagnosed patient with chronic lymphocytic leukemia who presented with ascites is described. Paracentesis revealed the presence of massive chylous ascites. Further work-up disclosed leukemic infiltration of the liver and bone marrow. Complications leading to his death included renal failure, gastrointestinal hemorrhage, bacterial peritonitis, and Staphylococcus aureus bacteremia. Chylous ascites is a rarely reported manifestation of chronic lymphocytic leukemia. The case is presented, and a review of the literature is discussed.

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