{"id":24,"date":"2019-11-14T23:19:25","date_gmt":"2019-11-14T22:19:25","guid":{"rendered":"http:\/\/www.irhandbook.com\/?p=24"},"modified":"2019-12-02T22:55:10","modified_gmt":"2019-12-02T21:55:10","slug":"drain-worm","status":"publish","type":"post","link":"https:\/\/www.irhandbook.com\/?p=24","title":{"rendered":"Drain worm"},"content":{"rendered":"\n<p>This was pulled out of a peritoneal catheter draining a patient&#8217;s ascites. Can you guess what it is?<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1024\" src=\"http:\/\/www.irhandbook.com\/wp-content\/uploads\/2019\/11\/DrainWorm-768x1024.jpg\" alt=\"\" class=\"wp-image-25\" srcset=\"https:\/\/www.irhandbook.com\/wp-content\/uploads\/2019\/11\/DrainWorm-768x1024.jpg 768w, https:\/\/www.irhandbook.com\/wp-content\/uploads\/2019\/11\/DrainWorm-225x300.jpg 225w, https:\/\/www.irhandbook.com\/wp-content\/uploads\/2019\/11\/DrainWorm-1152x1536.jpg 1152w, https:\/\/www.irhandbook.com\/wp-content\/uploads\/2019\/11\/DrainWorm.jpg 1200w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/figure>\n\n\n\n<p>This is actually a cast of solidified chylous ascites. It was pulled out of a dysfunctioning  10F peritoneal pigtail catheter. The regularly spaced bumps represent the sideholes of the catheter.<\/p>\n\n\n\n<p>Chylous ascites (or chyloperitoneum) results from leakage op lipid-rich lymph into the peritoneal cavity. Usually it appears as a milky and cloudy fluid, having triglyceride levels &gt; 200 mg\/dL. At certain points (e.g. closer to room temperature) it can solidify. <\/p>\n\n\n\n<p>Unfortunately for this patient the chylous ascites kept clogging up his drains necessitating several new catheter placements. <\/p>\n\n\n\n<p>  <\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>This was pulled out of a peritoneal catheter draining a patient\u2019s ascites. Can you guess what it is?<\/p>\n<\/div>","protected":false},"author":3923,"featured_media":25,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[4,2],"class_list":["post-24","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gallery","tag-ascites","tag-images"],"_links":{"self":[{"href":"https:\/\/www.irhandbook.com\/index.php?rest_route=\/wp\/v2\/posts\/24","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.irhandbook.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.irhandbook.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.irhandbook.com\/index.php?rest_route=\/wp\/v2\/users\/3923"}],"replies":[{"embeddable":true,"href":"https:\/\/www.irhandbook.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=24"}],"version-history":[{"count":8,"href":"https:\/\/www.irhandbook.com\/index.php?rest_route=\/wp\/v2\/posts\/24\/revisions"}],"predecessor-version":[{"id":303,"href":"https:\/\/www.irhandbook.com\/index.php?rest_route=\/wp\/v2\/posts\/24\/revisions\/303"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.irhandbook.com\/index.php?rest_route=\/wp\/v2\/media\/25"}],"wp:attachment":[{"href":"https:\/\/www.irhandbook.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=24"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.irhandbook.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=24"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.irhandbook.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=24"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}