A Rare Case of Chylous Ascites: A Case Report

Introduction: Chylous ascites is fluid buildup with elevated triglycerides, caused by various conditions. Early detection is crucial to prevent immunosuppression, malnutrition, and other complications.  Presentation of case: A 40-year-old woman presented with left groin swelling. CT showed a 6x3x7 cm multiloculated collection, mild ascites, and liver cysts. Exploration revealed turbid, milky white fluid; analysis confirmed chylous ascites. Post-op, the patient had a smooth recovery, with no complications.  Clinical Discussion: Chylous ascites, caused by cirrhosis, lymphatic abnormalities, malignancy, or infections like tuberculosis, presents diagnostic challenges. Treatment includes a low- fat diet, MCTs, and TPN for unresponsive cases.  Conclusion: Mycobacterial chylous ascites is rare but treatable with antimycobacterial therapy, MCT diet, and somatostatin analogs, while excluding HIV and underlying infections in patients.