Idiopathic chylous ascites simulating acute appendicitis: A case report and literature review

• A rare case of idiopathic chylous ascites in a young female is reported. The management and outcome with long term follow up were discussed. • The variable nature of presentation of chylous ascites necessitates high index of suspicion. Diagnosis predominately requires abdominal paracentesis and triglyceride levels in the ascetic fluid obtained. • Management of idiopathic chylous ascites is mostly conservative, once the diagnosis is established. The treatment may include low fat diet and occasional somatostatin use. • Further research is mandatory as there is a significant rise in reported cases with no standardized guidelines for management.