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Unusual presentation of a man with recurrent chylous ascites
  1. Alka N Joshi,
  2. Talal Valliani and
  3. Robert Przemioslo
  1. Gastroenterology and Hepatology, North Bristol NHS Trust, Bristol, UK
  1. Correspondence to Dr Talal Valliani; talal.valliani{at}


We describe an interesting case of a 77-year-old man presenting with refractory chylous ascites of unknown aetiology. After extensive diagnostic workup, unifying diagnosis of an intriguing condition of yellow nail syndrome was reached. This case is unusual as it describes a rare cause of chylous ascites in this age group. Despite refractory ascites and the need for recurrent paracentesis, this patient has a good prognosis with no significant impact on overall mortality.

  • gastroenterology
  • general practice / family medicine
  • medical management

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  • Contributors ANJ wrote the first and revised versions of the manuscript. RP conceived the idea and revised the manuscript. RP was the responsible consultant looking after the patient.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.