Milky Mesentery: Acute Abdomen with Chylous Ascites.

Authors:
Aakanksha Goel
Aakanksha Goel
University of Delhi
New Delhi | India
Pankaj Kumar Garg
Pankaj Kumar Garg
University College of Medical Sciences and Guru Teg Bahadur Hospital
Delhi | India

Indian Pediatr 2018 Oct;55(10):909-910

Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, Shahdara, Delhi, India.

Background: Clinical presentations of intestinal lymphangiectasia include pitting edema, chylous ascites, pleural effusion, diarrhea, malabsorption and intestinal obstruction.

Case Characteristics: An 8-year-old male child presented to the emergency department with clinical features of peritonitis, raising suspicion of appendicular or small bowel perforation.

Intervention/outcome: Diagnosis of chylous ascites with primary intestinal lymphangiectasia made on laparotomy.

Message: Acute peritonitis may be a presentation of primary intestinal lymphangiectasia and chylous ascites.

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October 2018
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