A 57-year-old man was evaluated in the gastroenterology clinic because of new ascites. Paracentesis yielded milky-appearing ascitic fluid with a triglyceride level of 797 mg per deciliter. CT revealed multiple hypoenhancing liver lesions. There was a history of eosinophilic gastroenteritis and protein-losing enteropathy. A diagnostic test was performed.
Funding and Disclosures
This case was presented at the Medicine Case Conference, Interview Series.
Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.
We thank Dr. Lawrence Zuckerberg for his assistance with the pathological portion of the manuscript.
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