Disease Information for Obstruction Cysterna/Thoracic duct/Cntral Lymphatics

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Clinical Manifestations
Signs & Symptoms
Hypertrophic lymphatics/subcutaneous/signs
Weight gain
Laboratory Tests
Abnormal Lab Findings - Decreased
Lymphocytes (Lab)
Diagnostic Test Results
X-RAY
Xray/Peritoneal fluid/child/ABD
Angiography
Lymphangiogram/Cysterna/thoracic duct obstruction
Lymphangiogram/Thoracic duct/Abnormality
Associated Diseases & Rule outs
Associated Disease & Complications
Abdominal lymphatics obstruction/Cysterna ch.
Ascites
Chylous ascites
Chylous pleural effusion
Obstruction/Cysterna/Thoracic duct
Peritoneal Effusion
Disease Mechanism & Classification
Class
CLASS/Cysterna Chyli/main lymphatic channels disorder (ex)
CLASS/Lymphatics/channels disorders (ex)
CLASS/Lymphatics/lymph (category)
Process
PROCESS/Structural/anatomic/foreign body (category)
Treatment
Surgical Procedures or Treatments
SX/Surgery
Definition

chylous ascites presents with diarrhea and failure to thrive in kids. acquired or congenital. paracentesis and medium chain fat diet will occsionally give spontaneous cure in kids. Lymphectasia congenital defect with milder dysplasia in onset as adults presents as protein losing enteropathy. Hypogammaglobulinemia, hypoambuminemia, and lymphopenia occur. Ascitic fluid has lymphocytes but may not be milky if not postprandial. No real treatment in kids. Surgical venous drainage connection more successful in adults. Cause of acquired disease are blocks at central lymphatics, cysterna chyle, and thoracic duct. infections, inflammatory,neoplastic malignancy, and trauma with hematoma scar retroperitoneal sepsis; may be complication of hemorrhagic necrotizing pancreatitis; If thoracic duct involved pleural chylous effusion predates the ascites. Often the fluid wave, shifting dullness, and distended abdonmen are present. Retroperitoneal edema shows on imaging. One or both lower extremities are edematous. Often this is fatal if untreated, especially with kids; Complicating infection occurs. Some causes in adults are tuberculosis, schistosomiasis, retroperitoneal hematoma, carcinoma retroperitoneal, section at surgery, transection with gunshot etc. Usually not discovered and idiopatic acquired.

-----------Pediatric current DXRX Hay Sondheimer 14th 1999]--------------------------------

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External Links Related to Obstruction Cysterna/Thoracic duct/Cntral Lymphatics
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Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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