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Chylous ascites, genital and lower-limb lymphoedema: a case report

Ana Alabajos-Cea, Enrique Viosca-Herrero, Isabel Forner-Cordero, Katherine García-Malpartida, Luz M. Herrero-Manley
2 September 2020

There is evidence in the literature of clinicians dealing with either lymphoedema or chylous ascites (CA), but associations between these conditions are rarely discussed. This paper aims to highlight the importance of teamwork and information exchange in the multidisciplinary approach of a case of CA with lymphoedema. A seventy-four-year-old woman was referred to the Lymphoedema Unit with bilateral lower-limb lymphoedema (LLL) and genital lymphoedema. She also presented with signs of protein malnutrition secondary to abdominal CA. The prescribed mainstream treatment was total parenteral nutrition (TPN), decongestive lymphatic therapy with manual lymphatic drainage and multi-layer short-stretch bandages of the lower limb. This management provided a satisfactory outcome. The association of CA and lymphoedema often presents as a complex clinical case, which requires a multimodal treatment based on proper nutrition regimens and decongestive therapy. Effective teams are crucial to achieving best practice in such challenging scenarios.

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