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既往Roux-en-Y胃旁路手术患者小肠梗阻合并乳糜性腹水相关的淋巴梗阻病例报告

Lymphatic Obstruction Related to Small Bowel Obstruction With Chylous Ascites in Prior Roux En Y Gastric Bypass Patient Case Report.

作者信息

Couch Caroline, Chica Jonathan

机构信息

Department of Trauma, Allegheny Health Network, Pittsburgh, Pennsylvania, USA.

出版信息

Case Rep Surg. 2025 Aug 29;2025:6093542. doi: 10.1155/cris/6093542. eCollection 2025.

DOI:10.1155/cris/6093542
PMID:40917461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12413280/
Abstract

Chylous ascites from small bowel obstructions is a very rare finding with only a handful of case reports previously published. This case report of a patient with chylous ascites related to an obstruction from Petersen's hernia supports the trend from existing reports. Prior studies have linked chylous ascites to closed-loop obstructions, such as small bowel volvulus or internal hernia, even when the bowel is viable and does not require resection.

摘要

小肠梗阻导致的乳糜性腹水是一种非常罕见的情况，此前仅有少数病例报告发表。本病例报告了一名因彼得森疝梗阻导致乳糜性腹水的患者，支持了现有报告中的趋势。先前的研究已将乳糜性腹水与闭环性梗阻联系起来，如小肠扭转或内疝，即使肠管存活且无需切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2de/12413280/755e6cb2c199/CRIS2025-6093542.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2de/12413280/755e6cb2c199/CRIS2025-6093542.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2de/12413280/755e6cb2c199/CRIS2025-6093542.001.jpg

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本文引用的文献

1
Chylous Ascites Associated with Small Bowel Volvulus: Case Report on a Laparoscopic Diagnosis.与小肠扭转相关的乳糜性腹水：一例腹腔镜诊断病例报告
Middle East J Dig Dis. 2023 Apr;15(2):139-140. doi: 10.34172/mejdd.2023.334. Epub 2023 Apr 30.
2
Chylous ascites as a marker for intestinal viability in a small bowel obstruction: a case report.乳糜性腹水作为小肠梗阻中肠管活力的标志物：一例报告
J Surg Case Rep. 2021 Sep 27;2021(9):rjab411. doi: 10.1093/jscr/rjab411. eCollection 2021 Sep.
3
Randomized clinical trial on closure versus non-closure of mesenteric defects during laparoscopic gastric bypass surgery.
随机对照临床试验：腹腔镜胃旁路手术中关闭与不关闭肠系膜缺损的比较。
Br J Surg. 2021 Mar 12;108(2):145-151. doi: 10.1093/bjs/znaa055.
4
Chylous Ascites Accompanying Internal Hernia after Total Gastrectomy with Roux-en-Y Reconstruction.全胃切除Roux-en-Y重建术后并发内疝伴乳糜性腹水
Case Rep Gastroenterol. 2019 Nov 21;13(3):481-486. doi: 10.1159/000504565. eCollection 2019 Sep-Dec.
5
Chylous Ascites: A Review of Pathogenesis, Diagnosis and Treatment.乳糜性腹水：发病机制、诊断与治疗综述
J Clin Transl Hepatol. 2018 Mar 28;6(1):105-113. doi: 10.14218/JCTH.2017.00035. Epub 2017 Dec 4.
6
Chylous ascites associated with intestinal obstruction from volvulus due to Petersen's hernia: report of a case.彼得森疝所致肠扭转引起肠梗阻伴乳糜性腹水：病例报告
Surg Case Rep. 2016 Dec;2(1):77. doi: 10.1186/s40792-016-0207-9. Epub 2016 Jul 28.