Left paraduodenal hernia accompanying chylous ascites.
10.4174/astr.2015.89.5.275
- Author:
Da Young YU
1
;
You Jin JANG
;
Young Jae MOK
Author Information
1. Department of Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea. jyjclick@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Internal hernia;
Chylous ascites
- MeSH:
Abdomen;
Abdominal Pain;
Adult;
Ascites;
Chylous Ascites*;
Emergencies;
Emergency Service, Hospital;
Female;
Hernia*;
Humans;
Ischemia;
Lymphatic System;
Mesenteric Artery, Inferior;
Mesentery;
Peritoneal Cavity;
Peritoneum;
Tomography, X-Ray Computed
- From:Annals of Surgical Treatment and Research
2015;89(5):275-277
- CountryRepublic of Korea
- Language:English
-
Abstract:
Paraduodenal hernia is by far the most common form of congenital internal hernia. Chylous ascites is an accumulation of lymphatic fluid in the peritoneal cavity. It develops when the lymphatic system is disrupted due to traumatic injury or obstruction. A 40-year-old, woman showed up to the Emergency Department with severe, colicky abdominal pain. Tenderness and rebound tenderness were observed at the left abdomen. Abdominal CT confirmed a cluster of dilated proximal small bowel loops with ischemic change, without ascites. The patient underwent an emergency surgery to relieve bowel ischemia. As soon as the peritoneum was exposed, 1.5 L of chylous fluid was found. A hernial sac was found along the posterior side of the mesentery of the inferior mesenteric artery. We resected the hernial sac and pulled out the herniated small bowel. On the sixth day after the surgery, she was discharged without any complication.
