Left paraduodenal hernia accompanying chylous ascites

Da Young Yu, You Jin Jang, Young Jae Mok

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Paraduodenal hernia is by far the most common form of congenital internal hernia. Chylous ascites is an accumulation of lymphatic fluid in the peritoneal cavity. It develops when the lymphatic system is disrupted due to traumatic injury or obstruction. A 40-year-old, woman showed up to the Emergency Department with severe, colicky abdominal pain. Tenderness and rebound tenderness were observed at the left abdomen. Abdominal CT confirmed a cluster of dilated proximal small bowel loops with ischemic change, without ascites. The patient underwent an emergency surgery to relieve bowel ischemia. As soon as the peritoneum was exposed, 1.5 L of chylous fluid was found. A hernial sac was found along the posterior side of the mesentery of the inferior mesenteric artery. We resected the hernial sac and pulled out the herniated small bowel. On the sixth day after the surgery, she was discharged without any complication.

Original languageEnglish
Pages (from-to)275-277
Number of pages3
JournalAnnals of Surgical Treatment and Research
Volume89
Issue number5
DOIs
Publication statusPublished - 2015 Nov

Keywords

  • Chylous ascites
  • Internal hernia

ASJC Scopus subject areas

  • Surgery

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