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After donating left kidney my daughter has had two paracentesis for chylous ascites. It is extremely rare. Is there anyone who has answers?
Yes: Chyle is the lymph and fatty liquid from lymph channels and glands . Removal of a kidney may disrupt some of these channels. Most heal or are ligated at surgery. If one or more continue to leak the fluid into the peritoneal cavity of the abdomen- that is chylous ascites. In the chest it is chylothorax. ...Read more
Paracentesis is a procedure where accumulated fluid in the abdominal cavity is removed. Most often the fluid is an abnormal build-up of ascites, which can occur in liver, heart and occasionally kidney failure, may be present as part of malignancy or other rarer conditions. It entails identifying a pocket of fluid, sometimes under x-ray guidance, and then having a ...Read more
How about ascites in unborn child? Can the doctor do a paracentesis?Or should the baby be delivered first ?
Depends.: If isolated (i.e. Not hydrops) fetal ascites may still be a harbinger of life-threatening fetal hydrops (immune or not), associated with urinary tract anomalies, fetal infections, lymphatic malformations, cardiac defects or chromosomal aneuploidies. Treatment depends on the diagnosis, which may be elusive prenatally. In general, isolated fetal hydrops is monitored and delivered at term. Mfm care! ...Read more
Remove excess fluid: It is a bedside procedure in which excess fluid is removed from the abdominal cavity (ascites). The purpose is to relieve pressure on the abdominal contents & upward pressure on the lungs/diaphragm as well as correct internal fluid balance. Ascites can be caused by many things but the most common is liver disease. Samples of the fluid is sent to the lab for analysis and to rule out infection. ...Read moreSee 1 more doctor answer
Depends on source: Ascites, the leaking of serum fluid into the peritoneal cavity can arise from different sources. End stage liver cirrhosis with portal hypertension can cause extensive ascites. A liver transplant may be the only source for relief. Ovaian Cancer that spreads to the omentum releases a vascular permeability factor. Here tumor debulking and chemo may produce the desired results. ...Read more
Diaphragm: Ascites is an accumulation of fluid in the abdominal cavity. The diaphragm, which is the muscle that divides the abdomen from the thoracic cavity( where the lungs are located) , helps in pulling air into the lungs, any accumulation of fluid in the abdomen will increase the intrabdominal pressure thus pushing on the diaphragm upward, preventing it from helping in drawing air into the lungs properly. ...Read moreSee 1 more doctor answer