Chylous ascites: A collective review

Aalami, Oliver; Allen, Daniel B.; Organ, Claude H.

doi:10.1067/msy.2000.109502

Cited by 390 publications

(454 citation statements)

References 101 publications

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“…Literature suggests pancreatitis is a rare cause of chylous ascities. 2,3 The surgeon's aim is to correctly diagnose the appendicitis and therefore to minimize the negative appendectomy rate without increasing the incidence of perforation. 4 He has to evaluate a diverse group of patients who present with abdominal pain and has to consider different aetiologies.…”

Section: Discussionmentioning

confidence: 99%

Acute pancreatitis Masquerading as acute appendicitis – A diagnostic dilemma

Agrawal

Wasnik

Ray

et al. 2013

Int J of Biomed & Adv Res

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A 28 year old male came to causality with pain in abdomen localising to right iliac fossa for 2 days. There was history of severe nausea but no vomiting and fever. There was no history of similar complaints in the past. Patient was an occasional drinker and denied alcohol consumption for the last 6-7 months. The patient gives history of admission to some hospital with acute abdomen for drinking in excess 8 months back with no details available. There was no significant surgical history.On examination patient was febrile with a temperature of 38.6 and was tachycardic with a pulse of 110 beats per minute. There was severe tenderness in the right iliac fossa with rebound tenderness and peritonism, consistent with a diagnosis of acute appendicitis. (Fig-1) The other systems were normal. It was also kept in mind that he was previously admitted in emergency with acute abdomen probably with acute pancreatitis or acute gastritis. Fig 1-Site of tendernessIJBAR (2013) 04 (09) www.ssjournals.com AbstractWe present a case of acute pancreatitis mimicking as acute appendicitis. There are very few cases in the literature suggesting acute pancreatitis leading to the development of ascities and features of acute appendicitis. The patient was initially diagnosed as complicated acute appendicitis but after thorough workup revealed acute pancreatitis and managed successfully by conservative management.

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Section: Discussionmentioning

confidence: 99%

Acute pancreatitis Masquerading as acute appendicitis – A diagnostic dilemma

Agrawal

Wasnik

Ray

et al. 2013

Int J of Biomed & Adv Res

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“…Cólico del lactante: sobre lo que suele ser y lo que puede ser su vez supone una entidad bien conocida derivada generalmente de intervenciones quirúrgicas (generalmente torácicas o retroperitoneales) o infiltración neoplásica del sistema linfático intraabdominal 4 . La presencia de líquido linfático en la cavidad abdominal se puede producir mediante exudación (típica de infiltración maligna), liberación directa tras fístula linfática o debido a fenómenos obstructivos o malformativos que permitan el desarrollo de grandes vasos linfáticos con facilidad para liberar su contenido 4 . Desde el punto de vista clínico la ascitis quilosa se acompaña de signos y sínto-mas clínicos muy inespecíficos apareciendo la distensión abdominal hasta en un 80% de los casos 3 .…”

Section: Discussionunclassified

Cólico del lactante: sobre lo que suele ser y lo que puede ser

García-Salido¹,

Villena²,

Suárez³

et al. 2010

Rev Pediatr Aten Primaria

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Resumen IntroducciónLa clínica compatible con un cólico del lactante representa un motivo de consulta de elevada prevalencia en el servicio de urgencias pediátricas. Debido a que el paciente perteneciente a este grupo poblacional muestra una gran inespecificidad clínica, el cortejo de signos y síntomas de este cuadro puede resultar común a un gran número de entidades, lo que dificulta tanto su interpretación como el posterior manejo clínico 1 . Se describe un caso de cólico del lactante causado por la presencia de vól-vulo y malrotación intestinal que se acompañó, tanto en el momento agudo como tras la cirugía correctora, de ascitis quilosa.Alberto García Salido, citopensis@yahoo.es Los autores declaran no presentar conflictos de intereses en relación con la preparación y publicación de este artículo.

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“…Peritoneo-venous shunting has become a less common technique recently, because of the high associated morbidity, such obstruction, vascular thrombosis, infections, sepsis, and disseminated intravascular coagulopathy (DIC) [8,9]. Table 2 also shows that almost all patients with a PV shunt insertion underwent additional surgery to treat subsequent complications.…”

Section: Discussionmentioning

confidence: 99%

“…Although there are many reports in the English-language literature describing the diagnosis, causes, and treatment of chylous ascites [8,9], little is known about hepatic lymphorrhea, not containing chyle, following abdominal surgery. To our knowledge, there has not been any report of hepatic lymphorrhea following abdominal surgery in the English-language literature.…”

Section: Introductionmentioning

confidence: 99%

Successful treatment of refractory hepatic lymphorrhea after gastrectomy for early gastric cancer, using surgical ligation and subsequent OK-432 (Picibanil) sclerotherapy

et al. 2004

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resulting from probable lymphatic duct injuries during lymph node dissection for a gastric malignancy. Gastrectomy with lymph node dissection is performed acceptably in most Japanese institutions; however, lymphorrhea is frequently encountered after gastric surgery, although the postoperative lymphatic leakage generally stops spontaneously without treatment. There is, though, little information about a standard treatment for postoperative lymphorrhea, which is highly refractory to any conventional medical treatments such as cessation of oral intake, total parenteral nutrition (TPN) management, diuretic therapy, intravenous reinfusion of ascites, or therapeutic paracentesis.Here, we present a case of intractable lymphorrhea in a patient who was successfully treated with surgical lymph vessel ligation, and subsequent OK-432 (Picibanil; Chugai Pharmaceutical, Tokyo, Japan) sclerotherapy. Additionally, we review the present case and the 17 previous reports noted above, and discuss management options. Case reportA 66-year-old man was referred to our department for medical treatment for refractory ascites. One year before admission, he had undergone, in our department, a total gastrectomy with lymphadenectomy for early gastric cancer. Because preoperative study showed that the tumor had probably invaded to the submucosal layer, we performed extended lymph node dissection, including the regional lymph nodes and additional lymph nodes, along the common hepatic artery. His postoperative course was uneventful. The final, pathological staging was T1 (SM), N0, H0, P0, M0, stage IA according to the Japanese classification of gastric carcinoma, second edition [23]. He had chronic B-type viral hepatitis, and was non-cirrhotic, but with normal liver function tests. There was no evidence of recurrence on the basis of Abstract Postoperative hepatic lymphorrhea is a very rare complication after abdominal surgery. Hepatic lymphorrhea, not containing chyle, involves an internal lymph fistula between the lymphatic channels toward the cisterna chyli and the peritoneal cavity. Over the past 20 years, 17 cases have been reported in Japan. Here, we report a further case, of a patient with successfully treated intractable hepatic lymphorrhea following gastrectomy for early gastric cancer. We review 18 cases, including the present case, with respect to the management of postoperative lymphorrhea refractory to conventional medical treatment.

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Chylous ascites: A collective review

Cited by 390 publications

References 101 publications

Acute pancreatitis Masquerading as acute appendicitis – A diagnostic dilemma

Acute pancreatitis Masquerading as acute appendicitis – A diagnostic dilemma

Cólico del lactante: sobre lo que suele ser y lo que puede ser

Successful treatment of refractory hepatic lymphorrhea after gastrectomy for early gastric cancer, using surgical ligation and subsequent OK-432 (Picibanil) sclerotherapy

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