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Chirurgia 2011 August;24(4):241-3

language: Italian

Chylosus peritonitis simulating acute appendicitis: case report

Caronia V., Gualandi O., Battistioli O., Bonotto G., Baraglia E., Pozzobon M., Fabi F.

Dipartimento di Chirurgia Generale, ALSS del Veneto di Treviso, Ospedale Civile di Oderzo, Treviso, Italia


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An acute accumulation of chyle into the peritoneal cavity is rare, and it’s rarely associated with the sudden development of clinical sympoms of acute appendicitis with the signs of peritonitis, and this rare conditions is often mistake for other disease processes. Chylosus peritonitis is usually idiopatic and the diagnosis is made during surgery. A reivew of the literature has documented only few cases described in the last 30 years. We report a recent case admitted at our surgical ward, a young woman with the signs of appendicitis, presenting a massive chylosus peritonitis during a laparoscopic explorative operation. No underlying pathological condition was found after a complete study. Drainage was the only treatment required because about 55% of the cases have not been clearly associated with a causative factor. In those cases, considerated idiopathic, like our case, the natural history of the disease is the spontaneous closure of the chyle link with the regression of the ascites, with an excellent prognosis.

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