Acute chylous peritonitis mimicking ovarian torsion in a patient with advanced gastric carcinoma

Moo Kang Chang, Sunghoon Kim, Woo Kim Bub, Sik Kim Kyung, Sub Choi Jin, Jung Lee Woo, Ro Kim Byong

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Abstract

The extravasation of chyle into the peritoneal space usually does not accompany an abrupt onset of abdominal pain with symptoms and signs of peritonitis. The rarity of this condition fails to reach preoperative diagnosis prior to laparotomy. Here, we introduce a case of chylous ascites that presented with acute abdominal pain mimicking peritonitis caused by ovarian torsion in a 41-yr-old female patient with advanced gastric carcinoma. An emergency exploratory laparotomy was performed but revealed no evidence of ovarian torsion. Only chylous ascites was discovered in the operative field. She underwent a complete abdominal hysterectomy and salphingo-oophorectomy. Only saline irrigation and suction-up were performed for the chylous ascites. The postoperative course was uneventful. Her bowel movement was restored within 1 week. She was allowed only a fat-free diet, and no evidence of re-occurrence of ascites was noted on clinical observation. She now remains under consideration for additional chemotherapy.

Original languageEnglish
JournalJournal of Korean Medical Science
Volume22
Issue numberSUPPL.
Publication statusPublished - 2007 Sep 1

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All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Chang, M. K., Kim, S., Bub, W. K., Kyung, S. K., Jin, S. C., Woo, J. L., & Byong, R. K. (2007). Acute chylous peritonitis mimicking ovarian torsion in a patient with advanced gastric carcinoma. Journal of Korean Medical Science, 22(SUPPL.).