Spontaneous midgut volvulus causing chylous ascites in an octogenerian
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چکیده
منابع مشابه
Spontaneous midgut volvulus causing chylous ascites in an octogenerian.
DESCRIPTION A previously well and independent 85-year-old woman presented to A&E with a 1-day history of sudden onset, cramping lower abdominal pain and vomiting. There were no other symptoms. The patient had a laparoscopic cholecystectomy 20 years ago but no other surgical history. On examination the patient was peripherally shutdown and abdominal examination revealed generalised peritonitis; ...
متن کاملMidgut volvulus presenting with acute chylous peritonitis
KEY CLINICAL MESSAGE Midgut volvulus can rarely present with acute chylous peritonitis. Common etiologies for chylous ascites need to be excluded before this diagnosis is made. Correction of the volvulus and peritoneal lavage suffice as treatment.
متن کاملChylous ascites
A 43-year-old man presented with a 2-week history of foamy urine, progressive oedema of his lower limbs, ascites and a 28-lb weight gain. He denied any trauma or surgery in the past. On physical examination, profound pitting oedema (4+) in the extremities and tautness of the abdominal wall with flattening of the umbilicus and positive shifting dullness was noted. Sono-guided paracentesis for sy...
متن کاملSclerosing Mesenteritis Causing Chylous Ascites and Small Bowel Perforation
BACKGROUND Sclerosing mesenteritis (SM) is a rare idiopathic inflammation and fibrosis of the mesentery. Its etiology and pathogenesis remain unclear. It has been linked to abdominal trauma related to peritoneal dialysis, recent abdominal surgery, idiopathic inflammatory disorder, paraneoplastic syndrome, ischemia/infection, and autoimmunity. Abdominal CT is the most sensitive imaging modality,...
متن کاملIntestinal volvulus, Midgut volvulus, Adults
Introduction: Rotation of the small bowel around its mesenteric vascular pedicle is termed midgut volvulus. This abnormality frequently causes obstruction and, most importantly, compromises the intestinal blood flow, threatening bowel viability. Midgut volvulus can be primary without findings of any associated underlying cause, or secondary to other congenital or acquired conditions. Primary mi...
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ژورنال
عنوان ژورنال: Case Reports
سال: 2012
ISSN: 1757-790X
DOI: 10.1136/bcr-2012-006950