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An Unusual Case of Chylous Ascites.
Cureus
December 2024
Hepatology, University of California Los Angeles David Geffen School of Medicine, Los Angeles, USA.
Chylous ascites occur when the lymphatic flow is blocked or disrupted, causing a leakage of fluid into the peritoneal space. It can be caused by a number of etiologies and identifying the exact cause can be challenging. We present the case of a 77-year-old man who presented with chylous ascites.
View Article and Find Full Text PDFRobotic right-sided colon cancer surgery: Dissecting the outermost layer of the autonomic nerve along the superior mesenteric artery.
Ann Gastroenterol Surg
January 2025
Division of Frontier Surgery, The Institute of Medical Science The University of Tokyo Bunkyō Japan.
In right-sided colon cancer surgery, lymph node dissection around the superior mesenteric artery is necessary but technically challenging. Here we introduce the concept of "outermost layer-oriented robotic surgery" to improve the safety, efficacy, and reproducibility of superior mesenteric artery nodal dissection. In this procedure, the thin, loose connective tissue layer between the autonomic nerve sheath of the superior mesenteric artery and adipose tissue bearing lymph nodes, termed "the outermost layer of the autonomic nerve," is dissected.
View Article and Find Full Text PDFSymptomatic presentation and imaging features of a chylous cystic lymphangioma.
BMJ Case Rep
November 2024
Department of Radiology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
A woman in her 60s presenting with 5 days of diffuse abdominal pain was diagnosed preoperatively with a chylolymphatic mesenteric cyst. MRI and CT imaging demonstrated a 5.8 cm unilocular cyst containing a fluid-fluid level within the mesentery.
View Article and Find Full Text PDFMassive chylous pleural effusion and protein‑losing enteropathy caused by mesenteric panniculitis: A case report.
Biomed Rep
November 2024
Department of Pathology, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka 569-8686, Japan.
Article Synopsis
- - Mesenteric panniculitis (MP) is a rare inflammatory condition affecting the mesentery, often linked with chylous ascites and occasionally with protein-losing enteropathy (PLE), a condition causing significant protein loss from the intestines.
- - A recent case at Osaka Medical and Pharmaceutical University involved a 56-year-old male who presented with severe symptoms including dyspnoea, systemic edema, and weight loss, ultimately diagnosed with MP alongside massive chylous pleural effusion and PLE.
- - Despite initial treatment with prednisolone and antibiotics, the patient deteriorated and died from respiratory failure, leading to a post-mortem confirming MP with severe complications, emphasizing the need to consider MP in
Acute Chyloperitoneum with Small Bowel Volvulus: Case Series and Systematic Review of the Literature.
J Clin Med
May 2024
Section of General Surgery, Department of Human Pathology of the Adult and Evolutive Age "Gaetano Barresi", University of Messina, Via Consolare Valeria, 98125 Messina, Italy.
Chyloperitoneum arises from lymph leakage into the abdominal cavity, leading to an accumulation of milky fluid rich in triglycerides. Diagnosis can be challenging, and mortality rates vary depending on the underlying cause, with intestinal volvulus being just one potential acute cause. Despite its rarity, our case series highlights chyloperitoneum associated with non-ischemic small bowel volvulus.
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