Acute Abdomen in Pregnancy due to Idiopathic Chylous Ascites

Chylous ascites results from the leakage of lymph rich in lipids into the peritoneal cavity and represents an exceedingly rare event in the course of pregnancy. While there are numerous documented instances of this pathology manifesting with hypogastric or diffuse abdominal pain, our report highligh...

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Main Authors: Claudia Epelde, Fátima Saravia, Mónica Aguinaga, Ane Toledo, Arantza Lekuona, Mikel Gorostidi
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2024/8898451
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author Claudia Epelde
Fátima Saravia
Mónica Aguinaga
Ane Toledo
Arantza Lekuona
Mikel Gorostidi
author_facet Claudia Epelde
Fátima Saravia
Mónica Aguinaga
Ane Toledo
Arantza Lekuona
Mikel Gorostidi
author_sort Claudia Epelde
collection DOAJ
description Chylous ascites results from the leakage of lymph rich in lipids into the peritoneal cavity and represents an exceedingly rare event in the course of pregnancy. While there are numerous documented instances of this pathology manifesting with hypogastric or diffuse abdominal pain, our report highlights a unique presentation involving a 35-week pregnant woman experiencing severe epigastric pain unrelated to pregnancy-induced hypertension or other gastrointestinal disorders. Major acute obstetric pathologies were ruled out, and there was no evidence of fetal distress. Due to uncontrolled pain with an unidentified etiology and an unfavorable Bishop score, an urgent cesarean section was performed. A copious amount of milky fluid was observed during the surgery, subsequently confirmed as chylous in nature. Both the newborn and the mother had positive outcomes postsurgery. Although it is usually a benign condition, it is important for healthcare professionals to be aware of this entity in order to provide timely medical care and administer appropriate treatment.
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institution Kabale University
issn 2090-6692
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publishDate 2024-01-01
publisher Wiley
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-71a4fdffe4d84727adf77a37070c9f7f2025-02-03T11:53:21ZengWileyCase Reports in Obstetrics and Gynecology2090-66922024-01-01202410.1155/2024/8898451Acute Abdomen in Pregnancy due to Idiopathic Chylous AscitesClaudia Epelde0Fátima Saravia1Mónica Aguinaga2Ane Toledo3Arantza Lekuona4Mikel Gorostidi5Department of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyChylous ascites results from the leakage of lymph rich in lipids into the peritoneal cavity and represents an exceedingly rare event in the course of pregnancy. While there are numerous documented instances of this pathology manifesting with hypogastric or diffuse abdominal pain, our report highlights a unique presentation involving a 35-week pregnant woman experiencing severe epigastric pain unrelated to pregnancy-induced hypertension or other gastrointestinal disorders. Major acute obstetric pathologies were ruled out, and there was no evidence of fetal distress. Due to uncontrolled pain with an unidentified etiology and an unfavorable Bishop score, an urgent cesarean section was performed. A copious amount of milky fluid was observed during the surgery, subsequently confirmed as chylous in nature. Both the newborn and the mother had positive outcomes postsurgery. Although it is usually a benign condition, it is important for healthcare professionals to be aware of this entity in order to provide timely medical care and administer appropriate treatment.http://dx.doi.org/10.1155/2024/8898451
spellingShingle Claudia Epelde
Fátima Saravia
Mónica Aguinaga
Ane Toledo
Arantza Lekuona
Mikel Gorostidi
Acute Abdomen in Pregnancy due to Idiopathic Chylous Ascites
Case Reports in Obstetrics and Gynecology
title Acute Abdomen in Pregnancy due to Idiopathic Chylous Ascites
title_full Acute Abdomen in Pregnancy due to Idiopathic Chylous Ascites
title_fullStr Acute Abdomen in Pregnancy due to Idiopathic Chylous Ascites
title_full_unstemmed Acute Abdomen in Pregnancy due to Idiopathic Chylous Ascites
title_short Acute Abdomen in Pregnancy due to Idiopathic Chylous Ascites
title_sort acute abdomen in pregnancy due to idiopathic chylous ascites
url http://dx.doi.org/10.1155/2024/8898451
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