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Lymphatic Obstruction Related to Small Bowel Obstruction With Chylous Ascites in Prior Roux En Y Gastric Bypass
Caroline Couch1, Jonathan Chica1
1Department of Trauma, Allegheny Health Network, Pittsburgh, Pennsylvania, USA.
Case Reports in Surgery
|September 8, 2025
Abstract:
Chylous ascites from small bowel obstructions is a very rare finding with only a handful of case reports previously published. This case report of a patient with chylous ascites related to an obstruction from Petersen's hernia supports the trend from existing reports. Prior studies have linked chylous ascites to closed-loop obstructions, such as small bowel volvulus or internal hernia, even when the bowel is viable and does not require resection.

