Chylous ascites as a sequelae of primary small bowel volvulu
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Chylous ascites (CA) result in a thick white ascitic fluid, akin to milk. It is most commonly caused by malignancy and cirrhosis in adults. The study suggests that timely intervention prevents complications.

Doctors present only the second reported case of primary small bowel volvulus resulting in CA in the virgin abdomen. The patient presented with acute onset, severe abdominal pain.

She underwent an urgent laparotomy where a large volume of CA was drained. The bowel and its mesentery were congested with chyle and stained white. Following detorsion, the bowel returned to normal, and the patient recovered well.

This case highlights the importance of timely surgical intervention in patients with volvulus to prevent irreversible bowel ischemia and if untreated, perforation.

Journal of Surgical Case Reports
Source: https://doi.org/10.1093/jscr/rjab176
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