Syrnioti Georgia, Al Awwa Ghayth, Eisdorfer Jacob
Surgery, Brookdale University Hospital Medical Center, New York, USA.
Cureus. 2023 Jun 9;15(6):e40188. doi: 10.7759/cureus.40188. eCollection 2023 Jun.
The term chyloperitoneum refers to the accumulation of triglyceride-rich fluid in the peritoneal cavity. It is an uncommon clinical condition that usually occurs due to disruption of lymphatic flow secondary to trauma or obstruction. Common causes include penetrating or blunt trauma, iatrogenic injuries, congenital anomalies, malignant neoplasms, infections such as tuberculosis and filariasis, liver cirrhosis, constrictive pericarditis, congestive heart failure, inflammatory conditions, such as sarcoidosis and pancreatitis, and radiation- and drug-related pathologies. We present a case of chyloperitoneum in a 33-year-old woman secondary to penetrating abdominal trauma secondary to a gunshot wound. The patient was successfully managed with total parenteral nutrition and octreotide administration. To our knowledge, this is the only case of chylous ascites caused by a penetrating injury that has been reported in the literature. Conservative management with the initiation of total parenteral nutrition and octreotide led to the resolution of this condition.
乳糜腹是指腹腔内积聚富含甘油三酯的液体。它是一种不常见的临床病症，通常由于创伤或梗阻继发淋巴液流动中断所致。常见病因包括穿透性或钝性创伤、医源性损伤、先天性异常、恶性肿瘤、结核病和丝虫病等感染、肝硬化、缩窄性心包炎、充血性心力衰竭、结节病和胰腺炎等炎症性疾病以及辐射和药物相关病变。我们报告一例33岁女性因枪伤导致穿透性腹部创伤继发乳糜腹的病例。该患者通过全胃肠外营养和使用奥曲肽成功治愈。据我们所知，这是文献中报道的唯一一例由穿透性损伤引起的乳糜性腹水病例。通过启动全胃肠外营养和使用奥曲肽进行保守治疗使该病症得到缓解。
