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Multiple chylous cysts of abdomen causing intestinal obstruction
M M Kamat1, N K Bahal, S R Prabhu
1Dept of Surgery, Topiwala National Medical College, Bombay, Maharashtra.
Journal of Postgraduate Medicine
|October 1, 1992
Summary
A rare case of multiple abdominal chylous cysts causing intestinal obstruction in a 35-year-old female is presented. Surgical excision and histopathology confirmed the chylous nature of these abdominal cysts, with the patient recovering well.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Imaging
Background:
- Chylous cysts are rare intra-abdominal cystic lesions, often associated with lymphatic abnormalities.
- Acute intestinal obstruction necessitates prompt diagnosis and surgical intervention.
Observation:
- A 35-year-old female presented with symptoms suggestive of acute intestinal obstruction.
- Exploratory laparotomy revealed multiple small, blood-stained, gelatinous cysts in the abdominal cavity.
- Intestinal adhesions were also noted, and some cysts along with lymph nodes were excised.
Findings:
- Histopathology confirmed the chylous nature of the excised cysts.
- The patient experienced an asymptomatic postoperative course following surgical management.
Implications:
- This case highlights the importance of considering chylous cysts in the differential diagnosis of intestinal obstruction.
- Surgical management appears effective for symptomatic chylous cysts, leading to favorable outcomes.