Chronic lymphocytic leukemia presenting with massive chylous ascites
Davis, M.N.; Alloy, A.M.; Chiesa, J.C.; Pecora, A.A.
American Journal of Gastroenterology 85(5): 593-596
1990
ISSN/ISBN: 0002-9270 PMID: 2186618 Document Number: 365294
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.