Intestinal torsion causing chylous ascites: a rare occurrence.
Singapore Med J
; 54(4): e88-90, 2013 Apr.
Article
en En
| MEDLINE
| ID: mdl-23624462
ABSTRACT
Intestinal torsion and chylous ascites are very rarely associated. We present the case of a 19-year-old man who presented with acute abdomen. Computed tomography of his abdomen showed features suggestive of intestinal torsion. Chylous ascites was incidentally discovered on exploratory laparotomy. The chylous fluid was drained, the small bowel detorted and the coloduodenal adhesion band taken down. The patient's retroperitoneum was explored to exclude occult masses and malformations of the lymphatics. Post surgery, the patient recovered uneventfully. In this case, we postulate that intestinal malrotation had caused the obstruction of the lymphatic flow from the mesenteric lymphatic channels, leading to the exudation of chyle, which then resulted in the accumulation of chylous fluid in the peritoneal cavity. It is important to exclude the more common causes of atraumatic chylous ascites, such as enlarged retroperitoneal lymph nodes or lymphatic malformations.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Ascitis Quilosa
/
Vólvulo Intestinal
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Singapore Med J
Año:
2013
Tipo del documento:
Article
País de afiliación:
Singapur