A case of strangulated ileus with chylous ascites

2013 ◽  
Vol 74 (1) ◽  
pp. 92-95 ◽  
Author(s):  
Yoshitaka UJI ◽  
Miki TOKUNAGA ◽  
Koji SHINGAMI ◽  
Masaki YAMAGUCHI ◽  
Takashi TAKAO
Keyword(s):  
Chylous Ascites ◽  
Strangulated Ileus

scholarly journals A CASE OF STRANGULATED ILEUS WITH CHYLOUS ASCITES

2011 ◽  
Vol 72 (8) ◽  
pp. 2056-2060 ◽  
Author(s):  
Kuniyuki KATO ◽  
Koki OTSUKA ◽  
Tetsuya ITABASHI ◽  
Masanori HAKOZAKI ◽  
Shingo MITOMO ◽  
...  
Keyword(s):  
Chylous Ascites ◽  
Strangulated Ileus

scholarly journals A Case of Strangulated Ileus with Chylous Ascites

2013 ◽  
Vol 74 (5) ◽  
pp. 1281-1285 ◽  
Author(s):  
Hidetaka SHIMA ◽  
Hiroaki SUGIURA ◽  
Yasuhiro SIMIZU ◽  
Kentaro SEKIZAWA ◽  
Kunio KAMEDA ◽  
...  
Keyword(s):  
Chylous Ascites ◽  
Strangulated Ileus

Case report of chylous ascites with strangulated ileus and review of the literature

2015 ◽  
Vol 8 (4) ◽  
pp. 186-192 ◽  
Author(s):  
Yukari Harino ◽  
Hitomi Kamo ◽  
Yuki Yoshioka ◽  
Takeshi Yamaguchi ◽  
Yuko Sumise ◽  
...  
Keyword(s):  
Case Report ◽  
Chylous Ascites ◽  
Review Of The Literature ◽  
Strangulated Ileus

scholarly journals Two Cases of Strangulated Ileus with Chylous Ascites after Gastrectomy for Gastric Cancer

2017 ◽  
Vol 78 (11) ◽  
pp. 2454-2459
Author(s):  
Yasuhiro SHIMIZU ◽  
Mitsutaka SUGITA ◽  
Masayuki NAKASHIMA ◽  
Hidetaka ONO ◽  
Hiroyuki BABA
Keyword(s):  
Gastric Cancer ◽  
Chylous Ascites ◽  
Strangulated Ileus

Chylous Ascites: An Analysis of Its Etiology

1960 ◽  
Vol 39 (2) ◽  
pp. 161-170 ◽  
Author(s):  
Maurice L. Kelley ◽  
Hugh R. Butt
Keyword(s):  
Chylous Ascites

Peritoneovenous shunting in a patient with generalized congenital lymphangiectasis: a palliative option in refractory chylous ascites

2006 ◽  
Vol 210 (S 5) ◽  
Author(s):  
C Helbling ◽  
M Wolff ◽  
A Franz ◽  
N Kau ◽  
A Müller ◽  
...  
Keyword(s):  
Chylous Ascites

Complete resolution of acute pancreatitis-induced chylous ascites following transhepatic portal vein stenting

2020 ◽  
Vol 13 (12) ◽  
pp. e235986
Author(s):  
Alexander Tindale ◽  
James Jackson ◽  
Darina Kohoutova ◽  
Panagiotis Vlavianos
Keyword(s):  
Portal Vein ◽  
Complete Resolution ◽  
Chylous Ascites ◽  
Biliary Pancreatitis ◽  
Acute Biliary Pancreatitis ◽  
Portal Vein Stenosis ◽  
First Case ◽  
Vein Stenosis ◽  
Inflammatory Changes

We introduce a case of a 73-year-old man who developed intractable chylous ascites due to portal vein compression as a result of peripancreatic inflammatory changes after acute biliary pancreatitis. After stenting the portal vein stenosis, the chylous ascites improved from requiring weekly paracentesis to requiring no drainage within 4 months of the procedure and at the 15-month follow-up. To our knowledge, it is the first case reported in the literature where portal vein stenting has successfully been used to treat pancreatitis-induced chylous ascites.

scholarly journals Combined Chylothorax and Chylous Ascites Complicating Liver Transplantation: A Report of a Case and Review of the Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Tommy Ivanics ◽  
Semeret Munie ◽  
Hassan Nasser ◽  
Shravan Leonard-Murali ◽  
Atsushi Yoshida ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Enteral Feeding ◽  
Early Recognition ◽  
Medium Chain Triglyceride ◽  
Serum Triglyceride ◽  
Chylous Ascites ◽  
Abdominal Distension ◽  
Invasive Treatment ◽  
Management Options ◽  
Early Enteral Feeding

Chyle leaks may occur as a result of surgical intervention. Chyloperitoneum, or chylous ascites after liver transplantation, is rare and the development of chylothorax after abdominal surgery is even more rare. With increasingly aggressive surgical resections, particularly in the retroperitoneum, the incidence of chyle leaks is expected to increase in the future. Here we present a unique case of a combined chylothorax and chyloperitoneum following liver transplantation successfully managed conservatively. Risk factors for chylous ascites include para-aortic manipulation, extensive retroperitoneal dissection, use of a Ligasure device, and early enteral feeding as well as early enteral feeding. The clinical presentation is typically insidious and may include painless abdominal distension. Diagnosis can be made by noting characteristic milky white drainage which on laboratory examination has a total fluid triglyceride level >110 mg/dl, an ascites/serum triglyceride ratio of >1 and a leukocyte count in fluid >1000/uL with a lymphocyte predominance. Chyle leaks may lead to significant morbidity and mortality. Numerous management options exist, with conservative nonoperative measurements leading to the most consistent and successful outcomes. This includes a step-up approach beginning with dietary modifications to a low-fat or medium chain triglyceride diet followed by nil per os with addition of total parenteral nutrition and somatostatin analogues such as octreotide. Rarely do patients require more invasive treatment. Early recognition and appropriate management are imperative to mitigate this complication.

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