We describe an interesting case of a 77-year-old man presenting with refractory chylous ascites of unknown aetiology. After extensive diagnostic workup, unifying diagnosis of an intriguing condition of yellow nail syndrome was reached. This case is unusual as it describes a rare cause of chylous ascites in this age group. Despite refractory ascites and the need for recurrent paracentesis, this patient has a good prognosis with no significant impact on overall mortality.

中文翻译：

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复发性乳糜腹水男性的异常表现

我们描述了一个有趣的病例，一名 77 岁的男性患有不明原因的难治性乳糜腹水。经过广泛的诊断检查后，对黄甲综合症的一种有趣情况进行了统一诊断。这个病例很不寻常，因为它描述了这个年龄组乳糜腹水的罕见原因。尽管存在顽固性腹水且需要反复穿刺，但该患者预后良好，对总体死亡率无显着影响。