Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2025 Aug 29:2025:6093542.
doi: 10.1155/cris/6093542. eCollection 2025.

Lymphatic Obstruction Related to Small Bowel Obstruction With Chylous Ascites in Prior Roux En Y Gastric Bypass Patient Case Report

Affiliations
Case Reports

Lymphatic Obstruction Related to Small Bowel Obstruction With Chylous Ascites in Prior Roux En Y Gastric Bypass Patient Case Report

Caroline Couch et al. Case Rep Surg. .

Abstract

Chylous ascites from small bowel obstructions is a very rare finding with only a handful of case reports previously published. This case report of a patient with chylous ascites related to an obstruction from Petersen's hernia supports the trend from existing reports. Prior studies have linked chylous ascites to closed-loop obstructions, such as small bowel volvulus or internal hernia, even when the bowel is viable and does not require resection.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Preoperative CT scan. (a) Pelvis, (b) lower abdomen, and (c) mid abdomen.

Similar articles

References

    1. Bhardwaj R., Vaziri H., Gautam A., Ballesteros E., Karimeddini D., Wu G. Y. Chylous Ascites: A Review of Pathogenesis, Diagnosis and Treatment. Journal of Clinical and Translational Hepatology . 2018;6(1):1–9. doi: 10.14218/JCTH.2017.00035. - DOI - PMC - PubMed
    1. Akama Y., Shimizu T., Fujita I., et al. Chylous Ascites Associated With Intestinal Obstruction From Volvulus Due to Petersen’s Hernia: Report of a Case. Surgical Case Reports . 2016;2(1) doi: 10.1186/s40792-016-0207-9.77 - DOI - PMC - PubMed
    1. Koyama R., Maeda Y., Minagawa N., Shinohara T., Hamada T. Chylous Ascites Accompanying Internal Hernia After Total Gastrectomy With Roux-En-Y Reconstruction. Case Reports in Gastroenterology . 2020;13(3):481–486. doi: 10.1159/000504565. - DOI - PMC - PubMed
    1. Morosin T., De Robles M. S. Chylous Ascites as a Marker for Intestinal Viability in a Small Bowel Obstruction: A Case Report. Journal of Surgical Case Reports . 2021;2021(9) doi: 10.1093/jscr/rjab411. - DOI - PMC - PubMed
    1. Gupta S., Mundasad B. Chylous Ascites Associated With Small Bowel Volvulus: Case Report on a Laparoscopic Diagnosis. Middle East Journal of Digestive Diseases . 2023;15(2):139–140. doi: 10.34172/mejdd.2023.334. - DOI - PMC - PubMed

Publication types

LinkOut - more resources