Chylous ascites: Our experience from a resource-limited setting

Chyle is a lipid-rich, milky-appearing fluid originating from lymph tissues. Chylous ascites is the collection of chyle in the peritoneal cavity and is a rare pathology. In this case report we share our experience of successfully managing chylous ascites conservatively from a resource-limited setting. There are numerous causes hence management includes treating the cause. Generally responds well to conservative management however some cases require surgical intervention. Ascitic tapping is an effective diagnostic and therapeutic tool is chylous ascites. •Chylous ascites is a rare pathology accounting in less than 1 %.•Clinicians should thrive to establish the cause for management plan.•Chylous ascites responds well to conservative management.•Abdominal drain is an effective diagnostic and management tool.