Chylous ascites associated with intestinal obstruction from volvulus due to Petersen’s hernia: report of a case

Background Chylous ascites is an uncommon finding which is usually associated with recent abdominal/oncologic or retroperitoneal surgery. It is not usually seen in cases of acute obstruction. Case presentation A patient who had previously undergone a laparoscopy-assisted distal gastrectomy with Roux...

Full description

Saved in:
Bibliographic Details
Published in:Surgical case reports 2016-07, Vol.2 (1), p.77-77, Article 77
Main Authors: Akama, Yuichi, Shimizu, Tetsuya, Fujita, Itsuo, Kanazawa, Yoshikazu, Kakinuma, Daisuke, Kanno, Hitoshi, Yamagishi, Aya, Arai, Hiroki, Uchida, Eiji
Format: Article
Language:English
Subjects:
Case Report
Medicine
Medicine & Public Health
Surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Chylous ascites is an uncommon finding which is usually associated with recent abdominal/oncologic or retroperitoneal surgery. It is not usually seen in cases of acute obstruction. Case presentation A patient who had previously undergone a laparoscopy-assisted distal gastrectomy with Roux-en-Y reconstruction for early gastric cancer presented with acute abdominal pain and epigastric fullness. Computed tomography suggested small bowel obstruction due to volvulus. We were able to reduce the volvulus and close a Petersen’s hernia without resecting the bowel; a large amount of chylous ascites was an incidental finding. Conclusions We present a case of chylous ascites occurring in a setting of small bowel obstruction due to Petersen’s hernia, 3 years after successful distal gastrectomy for early gastric cancer, with no evidence of tumor recurrence.
ISSN:2198-7793
2198-7793
DOI:10.1186/s40792-016-0207-9