Chylou Peritonitis Secondary to a Lymphocele of the Thoracic Duct due to Blunt Trauma
DOI:
https://doi.org/10.52787/agl.v55i3.445Keywords:
Chylous ascites, chyloperitoneum, acute abdomen, chyleAbstract
Chylous peritonitis, which is caused by the accumulation of chyle in the abdominal cavity, is a rare cause of acute surgical abdomen. It has a milky appearance due to its high triglyceride content. It can originate from different mechanisms, including congenital malformations and injury or obstruction of the lymphatic ducts. Due to its low incidence, there is no clear diagnostic or therapeutic approach, adding further complexity to the condition. We present a clinical case of a 37-year-old female patient with a history of blunt cervical trauma that progressed to abdominal distension and peritoneal reaction, which led to surgical intervention and the finding of chyloperitoneum.
References
-1. Bhardwaj R, Vaziri H, Gautam A, et al. Chylous Ascites: A Review of Pathogenesis, Diagnosis and Treatment. J. Clin Transl Hepatol. 2018;6(1):105-113.
-2. Lizaola B, Bonder A, Trivedi HD, et al. Review article: the diagnostic approach and current management of chylous ascites. Aliment Pharmacol Ther. 2017;46(9):816-824.
-3. Pelayo Salas A, Fermiñán Rodríguez A, Pérez Ruiz L. Ascitis quilosa postraumática. Cir Esp. 2000;67(4):407.
-4. Fernandes V, Queirós J, Soares C. Chylous ascites: Case report of a rare presentation of blunt abdominal trauma. Int J Surg Case Rep. 2020;77:799-802. 2015;33(2):119-122.
-5. Shah SS, Ahmed K, Smith R, et al. Chylous ascites following radical nephrectomy: a case report. J Med Case Rep. 2008;2:3.
-6. Sánchez Sobrino P, Rodríguez Cañete BL, Díaz Trastoy O, et al. Manejo de la ascitis quilosa y revisión de la literatura. Nutr Clín Diet Hosp. 2022;42(1):126-133.
-7. Olivar Roldán J, Fernández Martínez A, Martínez Sancho E, et al. Tratamiento dietético de la ascitis quilosa postquirúrgica: caso clínico y revisión de la literatura. Nutr Hosp. 2009;24(6):748-750.
-8. Jiménez CE. Ascitis quilosa: presentación de un caso y revisión de la fisiopatología. Rev Colomb Cir. 2004;19(2):76-84.
-9. Alrabadi A, Ihmeidan M, Al Demour S. Conservative management of chylous leak after open radical nephrectomy in an adult patient: a case report and literature review. Afr J Urol. 2021;27:1-4.
-10. Leibovitch I, Mor Y, Golomb J, et al. The diagnosis and management of postoperative chylous ascites. J Urol. 2002;167(2):449-457.
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Evelin Mariel Crocci, Mirta Vera, María Emilia De Armas, Mauricio Rodrigo Paternó, Ronald Ríos Parrado, Jesica Franco, Lorena Colque, Lilian Castro, Sandra Lencinas
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
