Sami Haider, Raza Hassan, Zia Beenish Fatima, Ashraf Ahmer, Khawar Ammar
Internal Medicine, Lady Reading Hospital, Peshawar, PAK.
Medicine, Lahore Medical and Dental College, Lahore, PAK.
Cureus. 2023 Jan 17;15(1):e33857. doi: 10.7759/cureus.33857. eCollection 2023 Jan.
Chylous ascites is a rare but significant complication of a variety of surgical procedures. It is an uncommon complication of laparoscopic Roux-en-Y gastric bypass (LRGYB). The underlying etiology is assumed to be an internal hernia, in which the hernia causes lymphatic channel engorgement and lymphatic extravasation. We present the case of a 34-year-old male who had a history of LRGYB a year back and had been experiencing gradually worsening, colicky abdominal pain radiating to the right flank for the last 24 hours. Laparoscopic exploration revealed chylous ascites due to internal herniation owing to the complication of LRYGB. Classic signs of internal hernias such as mesenteric swirl were absent on the computed tomography scan of the abdomen.
乳糜性腹水是各种外科手术中一种罕见但严重的并发症。它是腹腔镜Roux-en-Y胃旁路术（LRGYB）的一种不常见并发症。其潜在病因被认为是内疝，即疝导致淋巴管充血和淋巴外渗。我们报告一例34岁男性病例，该患者一年前有LRGYB病史，在过去24小时内一直经历逐渐加重的、放射至右胁腹的绞痛。腹腔镜探查显示，由于LRYGB并发症导致内疝，从而出现乳糜性腹水。腹部计算机断层扫描未发现内疝的典型征象，如肠系膜漩涡征。
