Milky Mesentery: Acute Abdomen with Chylous Ascites

Goel, Aakanksha; Gaur, Manish Kumar; Garg, Pankaj Kumar

doi:10.1007/s13312-018-1407-0

Cited by 3 publications

(4 citation statements)

References 7 publications

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“…Goel et al . [ 11 ] reported on an 8-year-old male with intestinal lymphangiectasia, who presented with symptoms of chylous ascites, pleural effusion, diarrhea, pitting edema, and malabsorption. Additionally, Chamberlain et al .…”

Section: Discussionmentioning

confidence: 99%

Interrelation of cancers of unknown primary, chylous ascites, and cavernous mesenteric lymphangioma in a 57-year-old female patient: a case report

AlHabil,

Dola,

Khader

2024

Journal of Surgical Case Reports

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Cancers of unknown primary (CUPs) pose diagnostic and therapeutic challenges because of their aggressive nature and elusive identification through conventional diagnostic means. This case report presents a unique finding in a 57-year-old female patient who, alongside her CUP, developed a cavernous mesenteric lymphangioma—a rare lymphatic malformation that is more commonly observed in pediatric populations. The interrelation between CUPs, chylous ascites, and lymphangiomas is explored, shedding light on this uncommon occurrence. Our patient’s journey began with a CUP diagnosis, marked by metastatic adenocarcinoma. Subsequent symptoms led to the discovery of a mesenteric lymphangioma. The case unfolds the patient’s diagnostic challenges, surgical interventions, and postoperative course. By highlighting the distinctive features of our case, we aim to contribute to the limited understanding of the interplay between lymphatic malformations and metastatic malignancies.

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Section: Discussionmentioning

confidence: 99%

Interrelation of cancers of unknown primary, chylous ascites, and cavernous mesenteric lymphangioma in a 57-year-old female patient: a case report

AlHabil,

Dola,

Khader

2024

Journal of Surgical Case Reports

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“…Our case is an unusual combination, because the chylous ascites was caused by a rare primary small bowel volvulus in an adult. The literature for mesenteric lymphatic infiltration and small bowel volvulus is scarce and focuses primarily on paediatric cases or patients with a surgery or intra-abdominal radiotherapy past [5][6][7][8][9]. Only a few case reports and small case series [10][11][12] describe this unique combination.…”

Section: Discussionmentioning

confidence: 99%

Rare Combination of Chyloperitoneum Secondary to Primary Small-Bowel Volvulus

Galvão,

Bettencourt,

Soares

et al. 2024

Cureus

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Chylous ascites is the exudation from lymphatic content to the peritoneum and is a rare situation that mostly occurs following medical causes like neoplasms or cirrhosis. However, trauma to the lymphatic system due to compression by masses or altered anatomy can be a trigger too. We describe a rare combination of a primary small bowel volvulus in a young healthy adult causing chylous ascites.Obstruction caused by a primary small bowell volvulus can re-arrange the lymphatics anatomy increasing their flow pressure which can lead to rupture and leak. This is an emergent scenario that needs to be addressed quickly because of bowel ischaemia. CT scan is the gold standard to expedite diagnosis and go to surgical treatment.Although it can be an impactful finding, treatment of the cause behind chylous ascites results in complete resolution without any bowel resection.

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“…The fluid is a transudate with a very low protein content and few cells. Occurrence of chylous ascitic fluid has been occasionally reported in adult patients with nephrotic syndrome, usually being caused by obstruction to lymphatics [1]. We report the case of a child with steroid resistant nephrotic syndrome (SRNS) who developed massive ascites.…”

mentioning

confidence: 91%

“…Chylous accumulation in peritoneal cavity may be caused by intestinal lymphangiectasia which may be congenital or associated with trauma, lymphoma, intestinal malignancy, pancreatitis, liver cirrhosis liver and right-sided heart failure [1]. Chylous ascites is not commonly a feature of idiopathic nephrotic syndrome in children.…”

mentioning

confidence: 99%