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01-02-2010 | Case Report

Chyloperitoneum After Laparoscopic Roux-en-Y Gastric Bypass (LRYGB)

Authors: Jesús E. Hidalgo, Alexander Ramirez, Sheetal Patel, Emeka Acholonu, Jeremy Eckstein, Wasef Abu-Jaish, Samuel Szomstein, Raul J. Rosenthal

Published in: Obesity Surgery | Issue 2/2010

Abstract

A true chylous effusion is defined as the presence of ascitic fluid with high fat (triglyceride) content, usually higher than 110 mg/dl. We report a case of chyloperitoneum following laparoscopic Roux-en-Y gastric bypass (LRYGB) in a 40-year-old patient who was admitted for surgery on May 31, 2007. On August 2008 an abdominal CT with contrast was ordered for chronic abdominal pain showing diffuse ascites as well as mesenteric adenitis. On September 2008, the patient was admitted to the hospital. An elective diagnostic laparoscopy was scheduled. A large amount of chylous fluid was found. Microscopic analysis came back negative. The patient made an uneventful recovery after surgery. To our knowledge, this is the first reported case of chylous ascites following LRYGB. Chyloperitoneum should be considered as a possible cause of ascites in patients with chronic small bowel obstruction following a LRYGB.

Krizek TJ, Davis JH. Acute chylous peritonitis. Arch Surg. 1965;91:253–62.

Madding GF, McLaughlin RF, McLaughlin RF Jr. Acute chylous peritonitis. Ann Surg. 1958;147(3):419–22.CrossRefPubMed

Doherty GM. Peritoneal cavity, Chapter 22. In: Doherty GM, Way LW, editors. Current surgical diagnosis and treatment. 12th ed. New York: McGraw-Hill; 2005.

Whang EE, Ashley SW, Zinner MJ. Small intestine, Chapter 27. In: Brunicardi FC, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE, Schwartz SI, editors. Schwartz's principles of surgery. 8th ed. New York: McGraw-Hill; 2004.

Glickman RM, Rajapaksa R. Abdominal swelling and ascites, Chapter 44. In: Fauci AS, Braunwald E, Kasper DL, Hauser SL, Longo DL, Jameson JL, Loscalzo J, editors. Harrison's principles of internal medicine. 17th ed. New York: McGraw-Hill; 2008.

Sondheimer JM, Sundaram S. Gastrointestinal tract, Chapter 20. In: Hay Jr WW, Levin MJ, Sondheimer JM, editors. Current pediatric diagnosis and treatment. New York: Mc-Graw-Hill; 2005.

Title: Chyloperitoneum After Laparoscopic Roux-en-Y Gastric Bypass (LRYGB)
Authors: Jesús E. Hidalgo
Alexander Ramirez
Sheetal Patel
Emeka Acholonu
Jeremy Eckstein
Wasef Abu-Jaish
Samuel Szomstein
Raul J. Rosenthal
Publication date: 01-02-2010
Publisher: Springer-Verlag
Published in: Obesity Surgery / Issue 2/2010
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-009-9939-y

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Chyloperitoneum After Laparoscopic Roux-en-Y Gastric Bypass (LRYGB)

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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