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Chyloperitoneum After Penetrating Abdominal Trauma: A Report of a Rare Case

The term chyloperitoneum refers to the accumulation of triglyceride-rich fluid in the peritoneal cavity. It is an uncommon clinical condition that usually occurs due to disruption of lymphatic flow secondary to trauma or obstruction. Common causes include penetrating or blunt trauma, iatrogenic inju...

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Detalles Bibliográficos
Autores principales: Syrnioti, Georgia, Al Awwa, Ghayth, Eisdorfer, Jacob
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10329858/
https://www.ncbi.nlm.nih.gov/pubmed/37431330
http://dx.doi.org/10.7759/cureus.40188
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author Syrnioti, Georgia
Al Awwa, Ghayth
Eisdorfer, Jacob
author_facet Syrnioti, Georgia
Al Awwa, Ghayth
Eisdorfer, Jacob
author_sort Syrnioti, Georgia
collection PubMed
description The term chyloperitoneum refers to the accumulation of triglyceride-rich fluid in the peritoneal cavity. It is an uncommon clinical condition that usually occurs due to disruption of lymphatic flow secondary to trauma or obstruction. Common causes include penetrating or blunt trauma, iatrogenic injuries, congenital anomalies, malignant neoplasms, infections such as tuberculosis and filariasis, liver cirrhosis, constrictive pericarditis, congestive heart failure, inflammatory conditions, such as sarcoidosis and pancreatitis, and radiation- and drug-related pathologies. We present a case of chyloperitoneum in a 33-year-old woman secondary to penetrating abdominal trauma secondary to a gunshot wound. The patient was successfully managed with total parenteral nutrition and octreotide administration. To our knowledge, this is the only case of chylous ascites caused by a penetrating injury that has been reported in the literature. Conservative management with the initiation of total parenteral nutrition and octreotide led to the resolution of this condition.
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spelling pubmed-103298582023-07-10 Chyloperitoneum After Penetrating Abdominal Trauma: A Report of a Rare Case Syrnioti, Georgia Al Awwa, Ghayth Eisdorfer, Jacob Cureus Trauma The term chyloperitoneum refers to the accumulation of triglyceride-rich fluid in the peritoneal cavity. It is an uncommon clinical condition that usually occurs due to disruption of lymphatic flow secondary to trauma or obstruction. Common causes include penetrating or blunt trauma, iatrogenic injuries, congenital anomalies, malignant neoplasms, infections such as tuberculosis and filariasis, liver cirrhosis, constrictive pericarditis, congestive heart failure, inflammatory conditions, such as sarcoidosis and pancreatitis, and radiation- and drug-related pathologies. We present a case of chyloperitoneum in a 33-year-old woman secondary to penetrating abdominal trauma secondary to a gunshot wound. The patient was successfully managed with total parenteral nutrition and octreotide administration. To our knowledge, this is the only case of chylous ascites caused by a penetrating injury that has been reported in the literature. Conservative management with the initiation of total parenteral nutrition and octreotide led to the resolution of this condition. Cureus 2023-06-09 /pmc/articles/PMC10329858/ /pubmed/37431330 http://dx.doi.org/10.7759/cureus.40188 Text en Copyright © 2023, Syrnioti et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Trauma
Syrnioti, Georgia
Al Awwa, Ghayth
Eisdorfer, Jacob
Chyloperitoneum After Penetrating Abdominal Trauma: A Report of a Rare Case
title Chyloperitoneum After Penetrating Abdominal Trauma: A Report of a Rare Case
title_full Chyloperitoneum After Penetrating Abdominal Trauma: A Report of a Rare Case
title_fullStr Chyloperitoneum After Penetrating Abdominal Trauma: A Report of a Rare Case
title_full_unstemmed Chyloperitoneum After Penetrating Abdominal Trauma: A Report of a Rare Case
title_short Chyloperitoneum After Penetrating Abdominal Trauma: A Report of a Rare Case
title_sort chyloperitoneum after penetrating abdominal trauma: a report of a rare case
topic Trauma
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10329858/
https://www.ncbi.nlm.nih.gov/pubmed/37431330
http://dx.doi.org/10.7759/cureus.40188
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