Surgery MCQ 54

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Chylous ascites is the accumulation of chyle within the peritoneal cavity. Which of the following statement(s) is/are true concerning chylous ascites?

    1. The cisterna chyli lies at the anterior surface of the first and second lumbar vertebrae and receives lymphatic fluid from the mesenteric lymphatics

    2. Chylous ascites is most commonly associated with abdominal lymphoma

    3. Paracentesis and analysis of chylous fluid typically reveals elevated triglycerides, protein, and leukocyte levels with cytologic analysis reflecting the underlying presence of malignancy

    4. Treatment of chylous ascites with dietary manipulation will be successful in most cases

    5. The mortality rate in adults with chylous ascites is in excess of 50%

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