Acute Appendicitis Together with Chylous Ascites: Is It a Coincidence?

• Main Authors: Article Id, Sami Akbulut, Davut Yilmaz, Sule Bakir, Erdal Cucuk, Mahmut Tas
• Other Authors: The Pennsylvania State University CiteSeerX Archives
• Format: Text
• Language: English
• Published: 2010
• Subjects: sami
• Online Access: http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.354.6736

Copyright © 2010 Sami Akbulut et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Acute chylous ascites is a rarely seen clinical picture, therefore, examination findings are often confused with acute appendicitis. To the best of our knowledge, there is no publication to date showing the occurrence of them together. This study presents the treatment plan for a 25-year-old male patient with both acute chylous ascites and appendicitis. Surgical findings were retrocaecal appendicitis, evident lymphangiectasia in the proximal segment of jejunum, and approximately 3 lt of chylous fluid. An appendectomy was performed and drainage was applied. Low-fat total parenteral nutrition (TPN) and octreotide treatment were administered for 7 days postoperatively. We also present a general review of some studies on chylous ascites, which have been published in the English language medical literature since 1910. 1.