# TIPS to Treat Chylous Ascites due to Cirrhosis

## TL;DR

This case report describes the use of TIPS to treat chylous ascites in a patient with severe liver cirrhosis.

## Contribution

The paper presents a novel case of TIPS as a treatment for chylous ascites in decompensated cirrhosis.

## Key findings

- TIPS placement resolved diuretic-refractory chylous ascites in a cirrhosis patient.
- The patient showed clinical improvement after the procedure.
- TIPS may be a viable treatment option for chylous ascites due to cirrhosis.

## Abstract

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.