A Case of Chylous Ascites Accompanied with Volvulus with Malrotation

DOI Web Site Web Site 6 References

Bibliographic Information

Other Title
  • 乳糜腹水を認めた中腸軸捻を伴った腸回転異常症の1例
  • ニュウビフクスイ オ ミトメタ チュウ チョウジクネン オ トモナッタ チョウ カイテン イジョウショウ ノ 1レイ

Search this article

Abstract

<p>A 16-year-old man without past medical history presented with upper abdominal pain after lunch. He was suspected to have strangulated ileus by an abdominal ultrasound and was transferred to our hospital on the same day. An abdominal CT scan showed a SMV rotation sign, a whirlpool sign, ascites and a branch of superior mesenteric artery to be twisted counterclockwise by 180 degree. We diagnosed the case as a midgut volvulus with malrotation. Our observation with a laparoscope revealed chylous ascites and midgut volvulus without intestinal necrosis. We repositioned the intestine and performed appendectomy without bowel resection. He was discharged from our hospital on the 19th postoperative day, though he was associated with postoperative paralytic ileus.</p><p>We should try to check whether ascites is chylous or not and consider a necessary and sufficient treatment while keeping the fact in mind that a twisted intestine can be conserved in all cases of intestinal volvulus with chylous ascites.</p>

Journal

References(6)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top