TIPS to Treat Chylous Ascites due to Cirrhosis.

Chylous ascites is a rare form of ascites that arises from the disruption of lymphatic flow. It develops in patients with liver cirrhosis secondary to portal hypertension. Treatment options include dietary modifications, pharmacological agents, and procedural interventions. Transjugular intrahepatic portosystemic shunt (TIPS) placement has been proposed as a treatment option for chylous ascites in decompensated liver cirrhosis. Our case report discusses a patient with decompensated liver cirrhosis and diuretic-refractory ascites who ultimately developed chylous ascites that was treated by TIPS placement.