International Journal of Medical and Pharmaceutical Research
2025, Volume-6, Issue-3 doi: 10.5281/zenodo.15708727
Case Report
A Rare Case of Non Hodgkin Lymphoma Presenting as Chylous Ascites
Published
June 17, 2025
Abstract

Background: NHL typically presents with painless variable lymphadenopathy or mass , constitutional symptoms of fever , night sweats and weight loss. Ascites in a patient of NHL is an atypical presentation , Chylous ascites being a extremely rare presentation (1:20,000) resulting from leakage of lipid rich lymph in peritoneal cavity. Presentation: A 52 year old female presented with complaints of gradually progressive abdominal distension associated with abdominal pain. Bladder bowel habits were normal. No history of fever, swelling anywhere else in the body or trauma. On examination abdomen was distended and shifting dullness was present.Ascitic fluid analysis revealed milky white fluid with 7600 cells with all lymphocytes, triglyceride level of 1243mg/dl and positive for sudan IV stain. Other biochemical parameters were normal. Abdominal ultrasound revealed gross ascites with multiple enlarged retroperitoneal lymphnodes. CECT abdomen was done which revealed well defined multilobulated mass of 5.2x10x8.9cm in retroperitonem encasing abdominal aorta with multiple enlarged retroperitoneal, mesentric, left external iliac, bilateral inguinal lymphnodes with moderate ascites. Laparoscopic guided diagnostic FNAC of retroperitoneal Lymph node was done which revealed B cell Non hodgkin lymphoma. After appropriate staging(Ann arbor stage III) and risk stratification, the patient was counselled for chemotherapy(RCHOP regimen). After 6 cycles of chemotherapy , patient showed marked clinical improvement and repeat CECT-chest and abdomen showed significant reduction in lymphadenopathy and ascites. Conclusion: In a patient presenting with chylous ascites , the absence of a traumatic history warrants a prudent consideration for malignancy.

Recommended Articles
Loading Image...
Volume-6, Issue-3
Citations
2014 Views
189 Downloads
Share this article
License
Copyright (c) International Journal of Medical and Pharmaceutical Research
pdf Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
All papers should be submitted electronically. All submitted manuscripts must be original work that is not under submission at another journal or under consideration for publication in another form, such as a monograph or chapter of a book. Authors of submitted papers are obligated not to submit their paper for publication elsewhere until an editorial decision is rendered on their submission. Further, authors of accepted papers are prohibited from publishing the results in other publications that appear before the paper is published in the Journal unless they receive approval for doing so from the Editor-In-Chief.
IJMPR open access articles are licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. This license lets the audience to give appropriate credit, provide a link to the license, and indicate if changes were made and if they remix, transform, or build upon the material, they must distribute contributions under the same license as the original.
Logo
International Journal of Medical and Pharmaceutical Research
About Us
The International Journal of Medical and Pharmaceutical Research (IJMPR) is an EMBASE (Elsevier)–indexed, open-access journal for high-quality medical, pharmaceutical, and clinical research.
Follow Us
© Copyright IJMPR | All Rights Reserved