Summary
Chylous ascites developed in the course of celiac sprue and disappeared on treatment. Its presence was probably related to the mesenteric nodal hyperplasia which is known to occur in celiac sprue. Muscular hypertrophy of the intestinal wall was found and may be related to the motility disorders of celiac sprue. Its improvement appears to parallel mucosal improvement.
Similar content being viewed by others
References
Kelley ML Jr, Butt HR: Chylous ascites: An analysis of its etiology. Gastroenterology 39:161–170, 1960
Lesser GT, Bruno MS, Enselberg K: Chylous ascites. Arch Intern Med 125:1073–1077, 1970
Cooke WT: Adult celiac sprue disease. Progress in Gastroenterology, Vol 1, GBJ Glass (ed). New York, Grune & Stratton 1970, pp 299–338
Weinstein WM, Shimoda SS, Brow JR, Rubin CE: What is celiac sprue? Coeliac Disease. CC Booth, RH Dowling, (eds). Baltimore, Williams & Wilkins, 1970, pp 232–243
Holt PR, Isselbacher KJ, Jones CM: The reversibility of Whipple's disease. N Engl J Med 26:1335–1339, 1961
Paulley JW: Observations on the etiology of idiopathic steatorrhea. Br Med J 2:1318–1321, 1954
Whitehead R: Primary lymphadenopathy complicating idiopathic steatorrhea. Gut 9:569–575, 1968
Gough KR, Read AE, Naish JM: Intestinal reticulosis as a complication of idiopathic steatorrhea. Gut 3:232–239, 1962
Hess Taysen ThE: Non-tropical sprue. Copenhagen, Levin and Munksgaard, 1932
Blumgart HL: Three fatal adult cases of malabsorption of fat. Arch Intern Med 23:113–128, 1923
Morson BC, Dawson IM: Gastrointestinal Pathology. Oxford, Blackwell Scientific Publications, 1972
McClelland HA, Lewis MJ, Naish JM: Idiopathic steatorrhea with intestinal psuedo-obstruction, Gut 3:142–145, 1962
MacDonald WC, Brandborg LL, Flick AL, Trier JR, Rubin, CE: Studies in celiac sprue. IV. The response of the whole length of the small bowel to a gluten-free diet. Gastroenterology 47:573–589, 1964
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kaufmann, H.J. Chylous ascites and intestinal muscular hypertrophy occurring in the course of celiac sprue. Digest Dis Sci 20, 494–497 (1975). https://doi.org/10.1007/BF01070797
Issue Date:
DOI: https://doi.org/10.1007/BF01070797