A Case of Strangulated Ileus Accompanied With Chyle-Like Ascites

Kamei, Natsuko; Sakurai, Joe; Katayama, Masafumi; Suda, Tadashi; Tsukikawa, Satoshi; Ohtsubo, Takehito

doi:10.3919/jjsa.69.1683

Cited by 5 publications

(1 citation statement)

References 6 publications

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“…Surgical procedures performed included segmental resection of the pharyngo-esophagus and reconstruction with free jejunum for one case of hypopharyngeal cancer [11], subtotal esophagectomy and gastric tube reconstruction for two cases of esophageal cancer [10,19], total gastrectomy and Roux-en-Y reconstruction for five cases of gastric cancer [12][13][14][15]21], distal subtotal gastrectomy and B-I reconstruction for one case of gastric cancer [18], and distal subtotal gastrectomy and B-II reconstruction for gastric ulcer and duodenal ulcer [20,22]. One case of small intestine cancer had surgical history involving three operations, namely right hemicolectomy, sigmoidostomy, and partial resection of small intestine for perforated ileus due to recurrence [16].…”

Section: Discussionmentioning

confidence: 99%

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

Harino

Kamo

Yoshioka

et al. 2015

Clin J Gastroenterol

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We describe a case of chylous ascites with strangulated ileus, and review all 22 cases (including our case) of chylous ascites with strangulated ileus reported in the English and Japanese literature. The patient we describe was a 51-year-old woman with medical history of radiotherapy for cervical cancer of the uterus 15 months prior to being admitted to our hospital with abdominal pain after consuming a meal. A computed tomography (CT) scan revealed ascites, expansion of the small intestine, and whirl sign. Laparotomy revealed chylous ascites with an incarcerated internal hernia of the small intestine, which was released without intestinal resection. In our case the postoperative phase was uneventful, and as in the other 21 literature cases reviewed, treatment by either detorsion, release of the incarcerated internal hernia, or incision of the adhesion band without intestinal resection resulted in rapid improvement in the color of the intestine. It is considered that minimally invasive laparoscopic laparotomy should be selected as the treatment of first choice, because the degree of strangulation is slight in cases where chylous ascites is associated with strangulated ileus.

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