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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

Caroline Couch  1 , Jonathan Chica  1
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.

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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.
See this image and copyright information in PMC

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

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