Bazuhair Abdulaziz A, AlSubeai Hessa S, AlKhardawi Sarah H, AlKhlaiwy Omar Y, Alkhums Khaldoon A
Department of General Surgery, Security Forces Hospital, King Fahad Suburb, Dammam 31413, Kingdom of Saudi Arabia.
J Surg Case Rep. 2024 Aug 30;2024(8):rjae527. doi: 10.1093/jscr/rjae527. eCollection 2024 Aug.
Chyloperitoneum is the presence of chyle in the peritoneal cavity. This study focuses on acute chyloperitoneum, a rare condition with an unclear incidence due to limited number of reported cases in the literature. Here, we present a 24-year-old Saudi female with chyloperitoneum diagnosed intraoperatively during a laparoscopic appendectomy for acute appendicitis that was managed successfully with a low-fat diet and drainage, alongside a literature review to elucidate the condition's pathophysiology and therapeutic strategies. A conservative management approach is recommended for acute chyloperitoneum in the context of appendicitis, this includes intraperitoneal drainage, appendectomy when needed, and careful observation. Our proposed management strategy aligns with findings from the literature review and supports conservative management as a safe and effective treatment modality for this rare condition.
乳糜腹是指乳糜在腹腔内积聚。本研究聚焦于急性乳糜腹，这是一种罕见病症，由于文献报道的病例数量有限，其发病率尚不明确。在此，我们报告一名24岁的沙特女性，她在因急性阑尾炎行腹腔镜阑尾切除术时术中被诊断为乳糜腹，通过低脂饮食和引流成功治愈，同时进行了文献综述以阐明该病症的病理生理学和治疗策略。对于阑尾炎相关的急性乳糜腹，建议采用保守治疗方法，包括腹腔引流、必要时行阑尾切除术以及密切观察。我们提出的治疗策略与文献综述的结果一致，并支持保守治疗作为这种罕见病症的一种安全有效的治疗方式。
