Chylous Ascites Associated with Internal Hernia Post-Roux-en-Y Gastric Bypass: A Case Report

Authors

  • Ahmad E. Al-Mulla Department of Surgery, Farwaniya Hospital, Ministry of Health Kuwait, Sabah Al-Nasser, Block 6, P. O. Box 13373, Farwaniya 81004, Farwaniya, Kuwait
  • Mohammad Y. Saleh Department of Surgery, Al-Amiri Hospital, Ministry of Health Kuwait, Al-Amiri Hospital,Arabian Gulf Street, P. O. Box 13041, Kuwait City, Kuwait
  • Mohammad Zanki Department of Surgery, Al-Amiri Hospital, Ministry of Health Kuwait, Al-Amiri Hospital,Arabian Gulf Street, P. O. Box 13041, Kuwait City, Kuwait

DOI:

https://doi.org/10.17140/OROJ-8-146

Keywords:

Chylous ascites; Chyloperitoneum; Internal hernia; Roux-en-Y gastric bypass.

Abstract

Chyloperitoneum is a rare intra-abdominal finding in internal hernia, only a few cases reports mentioned in the literature. It presents
around 0.001-0.005% of hospital admissions. The presence of chylous ascites and swirl sign in a patient is a good indication of
internal hernia and the bowel’s validity.

References

Aalami OO, Allen DB, Organ CH Jr. Chylous ascites: A col-lective review. Surgery. 2000; 128(5): 761-778. doi: 10.1067/ msy.2000.109502

Leaning M. Chylous ascites as a sequelae of primary small bow-el volvulus in a virgin abdomen. J Surg Case Rep. 2021; 2021(5): rjab176. doi: 10.1093/jscr/rjab176

Akama Y, Shimizu T, Fujita I, Kanazawa Y, Kakinuma D, Kanno H, et al. Chylous ascites associated with intestinal obstruction from volvulus due to petersen’s hernia: Report of a case. Surg Case Rep. 2016; 2(1): 77. doi: 10.1186/s40792-016-0207-9

Al-Busafi SA, Ghali P, Deschênes M, Wong P. Chylous ascites: Evaluation and management. ISRN Hepatol. 2014; 2014: 240473. Submit your article to this journal | https://openventio.org/submit-manuscript/ Case Report | Volume 8 | Number 1| Al-Mulla doi: 10.1155/2014/240473

Koyama R, Maeda Y, Minagawa N, Shinohara T, Hamada T. Chylous ascites accompanying internal hernia after total gastrec-tomy with Roux-en-Y reconstruction. Case Rep Gastroenterol. 2019; 13(3): 481-486. doi: 10.1159/000504565

Browse N, Wilson N, Russo F, Al-Hassan H, Allen D. Aetiology and treatment of chylous ascites. Br J Surg. 1992; 79(11): 1145- 1150. doi: 10.1002/bjs.1800791110

Goldberg MB, Tavakkoli A, Robinson MK. Petersen’s hernia af-ter laparoscopic Roux-En-Y gastric bypass presenting in second trimester pregnancy. SRL Reprod Med Gynecol. 2017; 3(1): 20-23.

Iwuagwu O, Deans GT. Small bowel volvulus: A review. J R Coll Surg Edinb. 1999; 44(3): 150-155. AE et al 17

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Published

2021-07-23

How to Cite

Ahmad E. Al-Mulla, Mohammad Y. Saleh, & Mohammad Zanki. (2021). Chylous Ascites Associated with Internal Hernia Post-Roux-en-Y Gastric Bypass: A Case Report. Obesity Research, 15–17. https://doi.org/10.17140/OROJ-8-146

Issue

Volume 8 Issue 1 2021

Section

Articles

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