Chyloperitoneum signifying late bowel obstruction following gastric clipping with proximal jejunal bypass: A case report
Chyloperitoneum (CP) is a rare complication after bariatric surgery. We present a 37-year-old female with CP caused by a bowel volvulus following a gastric clipping with proximal jejunal bypass for morbid obesity. An abdominal CT image of a mesenteric swirl sign and abnormal triglyceride level of as...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-10-01
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| Series: | Journal of Minimal Access Surgery |
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| Online Access: | https://journals.lww.com/10.4103/jmas.jmas_33_23 |
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| author | Chih Hung Hsu Jin Ruei Yang Fang Ling Chiu Jan Sing Hsieh |
| author_facet | Chih Hung Hsu Jin Ruei Yang Fang Ling Chiu Jan Sing Hsieh |
| author_sort | Chih Hung Hsu |
| collection | DOAJ |
| description | Chyloperitoneum (CP) is a rare complication after bariatric surgery. We present a 37-year-old female with CP caused by a bowel volvulus following a gastric clipping with proximal jejunal bypass for morbid obesity. An abdominal CT image of a mesenteric swirl sign and abnormal triglyceride level of ascites fluid can confirm the diagnosis. In this patient, laparoscopy demonstrated dilated lymphatic ducts caused by a bowel volvulus resulting in the exudation of chylous fluid into the peritoneal cavity. After the reduction of bowel volvulus, she made an uneventful recovery with complete resolution of the chylous ascites. The presence of CP could indicate a situation of small bowel obstruction in patients with a history of bariatric surgery. |
| format | Article |
| id | doaj-art-37ff601905714a9e81f1d723b1b41d5d |
| institution | OA Journals |
| issn | 0972-9941 1998-3921 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj-art-37ff601905714a9e81f1d723b1b41d5d2025-08-20T02:12:24ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212024-10-0120444344510.4103/jmas.jmas_33_23Chyloperitoneum signifying late bowel obstruction following gastric clipping with proximal jejunal bypass: A case reportChih Hung HsuJin Ruei YangFang Ling ChiuJan Sing HsiehChyloperitoneum (CP) is a rare complication after bariatric surgery. We present a 37-year-old female with CP caused by a bowel volvulus following a gastric clipping with proximal jejunal bypass for morbid obesity. An abdominal CT image of a mesenteric swirl sign and abnormal triglyceride level of ascites fluid can confirm the diagnosis. In this patient, laparoscopy demonstrated dilated lymphatic ducts caused by a bowel volvulus resulting in the exudation of chylous fluid into the peritoneal cavity. After the reduction of bowel volvulus, she made an uneventful recovery with complete resolution of the chylous ascites. The presence of CP could indicate a situation of small bowel obstruction in patients with a history of bariatric surgery.https://journals.lww.com/10.4103/jmas.jmas_33_23bowel volvuluschyloperitoneumgastric clippingproximal jejunal bypass |
| spellingShingle | Chih Hung Hsu Jin Ruei Yang Fang Ling Chiu Jan Sing Hsieh Chyloperitoneum signifying late bowel obstruction following gastric clipping with proximal jejunal bypass: A case report Journal of Minimal Access Surgery bowel volvulus chyloperitoneum gastric clipping proximal jejunal bypass |
| title | Chyloperitoneum signifying late bowel obstruction following gastric clipping with proximal jejunal bypass: A case report |
| title_full | Chyloperitoneum signifying late bowel obstruction following gastric clipping with proximal jejunal bypass: A case report |
| title_fullStr | Chyloperitoneum signifying late bowel obstruction following gastric clipping with proximal jejunal bypass: A case report |
| title_full_unstemmed | Chyloperitoneum signifying late bowel obstruction following gastric clipping with proximal jejunal bypass: A case report |
| title_short | Chyloperitoneum signifying late bowel obstruction following gastric clipping with proximal jejunal bypass: A case report |
| title_sort | chyloperitoneum signifying late bowel obstruction following gastric clipping with proximal jejunal bypass a case report |
| topic | bowel volvulus chyloperitoneum gastric clipping proximal jejunal bypass |
| url | https://journals.lww.com/10.4103/jmas.jmas_33_23 |
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