Spontaneous chylous peritonitis mimicking acute appendicitis: A case report and review of literature

Fang, Fu-Chi; Hsu, Sheng‐Der; Chen, Chuang-Wei; Chen, Teng-Wei

doi:10.3748/wjg.v12.i1.154

Cited by 25 publications

(39 citation statements)

References 15 publications

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“…Most of them were ascribed to an idiopathic etiology [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] .…”

Section: Discussionmentioning

confidence: 99%

Acute Abdomen from Chylous Peritonitis: A Surgical Diagnosis

Vettoretto¹,

Odeh²,

Romessis³

et al. 2008

Eur Surg Res

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Acute accumulation of chyle in the peritoneal cavity is a rare event (less than 100 cases are described in the literature) and is to be distinguished from chylous ascites, which is characteristically chronic. It is frequently idiopathic, and diagnosis is usually made at laparotomy, whenever signs of acute peritonitis impose it. Peritoneal toilette and drainage are the only treatment required, and the prognosis is excellent. We describe the case of a 69-year-old man who underwent emergency surgery for acute peritonitis. Approximately 0.5 liters of chyle were found free in the peritoneal cavity at laparoscopic exploration, without any important underlying pathological condition apart from a blood vessel congestion in the bowel resembling angiomatosis. Laparotomic conversion, peritoneal toilette and drainage, with postoperative low-fat diet, were the pursued treatments. Two years after discharge, chemistry and clinics are normal, without evidence of associated disease or recurrence.

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“…Most of them were ascribed to an idiopathic etiology [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] .…”

Section: Discussionmentioning

confidence: 99%

Acute Abdomen from Chylous Peritonitis: A Surgical Diagnosis

Vettoretto¹,

Odeh²,

Romessis³

et al. 2008

Eur Surg Res

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show abstract

“…In medical literature, acute chylous peritonitis is most frequently diagnosed in young adults mostly during surgery for acute appendicitis (6). Likewise, in this case, the preoperative diagnostic tests were suspicious for acute appendicitis.…”

Section: Discussionmentioning

confidence: 67%

“…The rectal digital examination was unremarkable. The laboratory results showed only an elevated white blood cell count [14×10 6 /L (normal range: 3.8×10 6 -10.0×10 6 /L)]. Abdominal ultrasonography revealed an 8-mm diameter, blind-ending non-compressible intestinal segment with free intra-abdominal fluid.…”

Section: Case Presentationmentioning

confidence: 99%

A rare cause of acute abdomen: Chylous ascites

et al. 2017

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A rare cause of acute abdomen: Chylous ascites Chylous ascites, defined as a lipid-rich fluid accumulation in the peritoneal cavity, is a rare pathology of the lymphatic system and is a very rare cause of acute abdomen. It is generally associated with diseases such as cancer, cirrhosis, inflammatory diseases, surgery, or trauma. In this study, we report a patient with chylous ascites, which mimics acute appendicitis. Diagnosis and treatment procedures were discussed.

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“…Laparotomy usually allows a definitive diagnosis and provides an opportunity to address the underlying cause. 1 Our case had mild ascities, we don't know whether it was chylous and due to pancreatitis. Literature suggests pancreatitis is a rare cause of chylous ascities.…”

Section: Discussionmentioning

confidence: 72%

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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Spontaneous chylous peritonitis mimicking acute appendicitis: A case report and review of literature

Cited by 25 publications

References 15 publications

Acute Abdomen from Chylous Peritonitis: A Surgical Diagnosis

Acute Abdomen from Chylous Peritonitis: A Surgical Diagnosis

A rare cause of acute abdomen: Chylous ascites

Acute pancreatitis Masquerading as acute appendicitis – A diagnostic dilemma

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