Related Experiment Video
Updated: May 10, 2026
06:55
Ileectomy-induced Bile Overaccumulation in Mouse Intestine
Published on: August 21, 2017
9.5K
Small bowel volvulus with chylous ascites: a case report.
Shun Nakamura1, Masaaki Tajima1, Naoki Yokoyama1
1Department of Surgery, Shinbeppu Hospital, 3898 Oaza Tsurumi, Beppu 874-0833, Oita, Japan.
Journal of Surgical Case Reports
|February 2, 2024
Summary
This case report details a rare instance of small bowel volvulus complicated by chylous ascites in an elderly male. Prompt surgical intervention successfully resolved the volvulus and managed the ascites.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Radiology
Background:
- Small bowel volvulus is a rare surgical emergency characterized by the twisting of the small intestine.
- Chylous ascites, the accumulation of lymphatic fluid in the abdominal cavity, can be a rare complication of various intra-abdominal conditions.
Observation:
- A 93-year-old male presented with abdominal pain, exhibiting a characteristic whirl sign on CT scan indicative of small bowel volvulus.
- Intraoperative findings revealed extensive small bowel twisting (360° counterclockwise) and the presence of chylous ascites.
Findings:
- Emergency surgery, transitioning from laparoscopy to laparotomy due to intestinal edema, successfully untwisted the small bowel.
- Partial small bowel resection was performed due to a jejunal diverticulum, addressing the potential for recurrent volvulus.
- The patient experienced a favorable postoperative recovery without evidence of ischemia or necrosis.
Implications:
- This case highlights the importance of prompt diagnosis and surgical management of small bowel volvulus, even in elderly patients.
- The occurrence of chylous ascites necessitates thorough investigation and consideration of underlying gastrointestinal pathology.
- Management strategies should be tailored to individual patient factors, including the presence of anatomical abnormalities like diverticula.
Related Concept Videos
01:25Assessment of the Rectum and Anus
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
01:22Appendicitis-I: Introduction
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...