Chylothorax with chyloascites

Abstract

We report a case of a 54 year old man with history of hepatitis C, liver cirrhosis, esophageal varices, polysubstance abuse who was treated with interferon therapy for several months. He presented with progressive shortness of breath and abdominal distension. The patient was admitted with ascites and large pleural effusion that required serial paracenteses and thoracenteses. The findings were consistent with chyloascites and chylothorax that were caused by cirrhosis. We will review the case in view of current literature and latest treatment modalities.