Varma J S
Scott Med J. 1985 Apr;30(2):111. doi: 10.1177/003693308503000208.
Acute chylous ascites is of idiopathic origin in 50 per cent of cases, the remainder being accounted for by trauma and intestinal obstruction. It usually presents with acute abdominal pain. Neoplastic disease is much more common in chronic cases, and lymphomas comprise about half of these. Chronic chylous ascites usually presents without pain but with inanition and hypoproteinaemia. This report describes acute chylous ascites following trauma in a patient who was subsequently found to have a pancreatic carcinoid, the lymphangiographic findings being of particular interest.
急性乳糜性腹水50%病例病因不明,其余由创伤和肠梗阻引起。通常表现为急性腹痛。肿瘤性疾病在慢性病例中更为常见,其中淋巴瘤约占一半。慢性乳糜性腹水通常无疼痛表现,但有消瘦和低蛋白血症。本报告描述了一名创伤后发生急性乳糜性腹水的患者,该患者随后被发现患有胰腺类癌,淋巴管造影结果特别令人关注。