Midgut volvulus presenting with acute chylous peritonitis.
Ajit Pai1, John J Park1, Slawomir J Marecik1
1Division of Colon and Rectal Surgery, Advocate Lutheran General Hospital 1775 Dempster St., Park Ridge, Illinois, 60068.
Clinical Case Reports
|October 31, 2014
Summary
Midgut volvulus can cause acute chylous peritonitis, a rare condition. Other causes of chylous ascites must be ruled out before diagnosis, with surgical correction and lavage as effective treatments.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Midgut volvulus is a rare surgical emergency.
- Acute chylous peritonitis is an uncommon presentation of midgut volvulus.
Purpose of the Study:
- To highlight the rare presentation of midgut volvulus as acute chylous peritonitis.
- To emphasize the differential diagnosis of chylous ascites.
Main Methods:
- Case review and literature synthesis.
- Exclusion of common etiologies for chylous ascites.
Main Results:
- Midgut volvulus can manifest as acute chylous peritonitis.
- Pre-diagnosis requires exclusion of other causes of chylous ascites.
Conclusions:
- Surgical correction of the volvulus is the primary treatment.
- Peritoneal lavage is an effective adjunctive therapy.
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