In a recent most valuable, thoroughly scientific and exhaustive monograph Dr. S. Gandin of St. Petersburg, discusses the different types of chylous effusions in serous cavities. The work is based on the study of three medical and two surgical cases, and a critical review of 281 references covering the literature up to date.
The classification chylous, chyliform and milky, non-fatty forms of ascites, is not universally adopted. Many of the more recent writers make no distinction between the chylous and chyliform varieties; others prefer to retain the designation chyliform (which does not necessarily refer to the origin of the fluid), some again do not make any distinction between the fatty and the non-fatty ascites, regarding them, in contradistinction to the chylous, as chyliform or pseudochylous.
This confusion has led to a further distinction of mixed types, chylous-adipose, chylous-pseudochylous and adipose pseudochylous effusions.
1. The true chylous is due to the
HUBER F, SILVER HM. A CASE OF ACUTE CHYLOUS ASCITES (NON-FATTY, PSEUDOCHYLOUS, LACTESCENT OR MILKY TYPE) IN A BOY EIGHT YEARS OLD. Am J Dis Child. 1914;VIII(1):50-57. doi:10.1001/archpedi.1914.04300010055002