Successful Treatment of Cirrhotic Chylous Ascites using Orlistat and Dietary Modifications: A Case Study and Literature Review

17 July 2023 : Case report Qatar

Rare disease

Yazan Nofal^1ABCDEF, Sara Mahmoud^2BF*, Safa Al-Rawi^2BEF, Ali Rahil^3ACDEF

DOI: 10.12659/AJCR.938611

Am J Case Rep 2023; 24:e938611

Background Case Report Discussion Conclusions References:

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Table 1. Lab test results upon admission.

Group	Detail	Value w/units	Normal range
1. Coagulation	Prothrombin time	11.9 seconds	9.7–11.8
	INR	1.1
	APTT	27.5 seconds	24.6–31.2
2. General hematology	WBC	6.2×10/uL	4.0–10.0
	RBC	3.3×10/uL	4.5–5.5
	Hgb	9.7 gm/dL	13.0–17.0
	Hct	29.5%	40.0–50.0
	MCV	89.7 fL	83.0–101.0
	MCH	29.5 pg	27.0–32.0
	MCHC	32.9 gm/dL	31.5–34.5
	RDW-CV	17.6%	11.6–14.5
	Platelet	183×10/uL	150–400
	MPV	11.2 fL	7.4–10.4
	Absolute neutrophil count (ANC)	2.8×10/uL	2.0–7.0
	Lymphocyte auto #	1.8×10/uL	1.0–3.0
	Monocyte auto #	1.1×10/uL	0.2–1.0
	Eosinophil auto #	0.4×10/uL	0.0–0.5
	Basophil auto #	0.08×10/uL	0.02–0.10
	Neutrophil auto%	45.8%
	Lymphocyte auto%	29.8%
	Monocyte auto%	17.3%
	Eosinophil auto%	5.8%
	Basophil auto%	1.3%
3. Blood chemistry	Urea	11.60 mmol/L	2.76–8.07
	Creatinine	159 umol/L	62–106
	Sodium	134 mmol/L	136–145
	Potassium	5.9 mmol/L	3.5–5.1
	Chloride	110.0 mmol/L	98.0–107.0
	Bicarbonate	16 mmol/L	22–29
	Calcium	2.09 mmol/L	2.15–2.50
	Adjusted calcium	2.45 mmol/L	2.20–2.55
	Albumin Lvl	22 gm/L	35–52
	B-Hydroxybut	0.05 mmol/L	0.03–0.30
	Ammonia	146 umol/L	16–60
	Lipase	70 IU/L	13–60
	Glucose	6.0 mmol/L	3.3–5.5
	CRP	8.6 mg/L	0.0–5.0
	Lactic acid	2.1 mmol/L	0.5–2.2

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