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Idiopathic chylous ascites simulating acute appendicitis: A case report and literature review

View Article: PubMed Central - PubMed

ABSTRACT

A rare case of idiopathic chylous ascites in a young female is reported. The management and outcome with long term follow up were discussed.

The variable nature of presentation of chylous ascites necessitates high index of suspicion. Diagnosis predominately requires abdominal paracentesis and triglyceride levels in the ascetic fluid obtained.

Management of idiopathic chylous ascites is mostly conservative, once the diagnosis is established. The treatment may include low fat diet and occasional somatostatin use.

Further research is mandatory as there is a significant rise in reported cases with no standardized guidelines for management.

Further research is mandatory as there is a significant rise in reported cases with no standardized guidelines for management.

No MeSH data available.


Related in: MedlinePlus

Chylous ascites in perihepatic region.
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fig0010: Chylous ascites in perihepatic region.

Mentions: When entering the peritoneum, we noticed moderate amount of white, odorless, non-clotting ascitic fluid in the perihepatic region and pelvis. (Fig. 1, Fig. 2) The Appendix was grossly normal. There was no abnormality visible in both solid and hollow abdominal viscera, no obvious signs of injury to thoracic duct and no dilated lymphatics. Samples of ascitic fluid were taken for bacteriological and biochemical examination. A provisional diagnosis of chylous ascites was made and prophylactic appendectomy performed. A thorough peritoneal wash was performed with 2L of warm saline and port site incisions closed.


Idiopathic chylous ascites simulating acute appendicitis: A case report and literature review
Chylous ascites in perihepatic region.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5121156&req=5

fig0010: Chylous ascites in perihepatic region.
Mentions: When entering the peritoneum, we noticed moderate amount of white, odorless, non-clotting ascitic fluid in the perihepatic region and pelvis. (Fig. 1, Fig. 2) The Appendix was grossly normal. There was no abnormality visible in both solid and hollow abdominal viscera, no obvious signs of injury to thoracic duct and no dilated lymphatics. Samples of ascitic fluid were taken for bacteriological and biochemical examination. A provisional diagnosis of chylous ascites was made and prophylactic appendectomy performed. A thorough peritoneal wash was performed with 2L of warm saline and port site incisions closed.

View Article: PubMed Central - PubMed

ABSTRACT

A rare case of idiopathic chylous ascites in a young female is reported. The management and outcome with long term follow up were discussed.

The variable nature of presentation of chylous ascites necessitates high index of suspicion. Diagnosis predominately requires abdominal paracentesis and triglyceride levels in the ascetic fluid obtained.

Management of idiopathic chylous ascites is mostly conservative, once the diagnosis is established. The treatment may include low fat diet and occasional somatostatin use.

Further research is mandatory as there is a significant rise in reported cases with no standardized guidelines for management.

Further research is mandatory as there is a significant rise in reported cases with no standardized guidelines for management.

No MeSH data available.


Related in: MedlinePlus