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Milky Mesentery: Acute Abdomen with Chylous Ascites

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BackgroundClinical presentations of intestinal lymphangiectasia include pitting edema, chylous ascites, pleural effusion, diarrhea, malabsorption and intestinal obstruction.Case CharacteristicsAn 8-year-old male child presented to the emergency department with clinical features of… Click to show full abstract

BackgroundClinical presentations of intestinal lymphangiectasia include pitting edema, chylous ascites, pleural effusion, diarrhea, malabsorption and intestinal obstruction.Case CharacteristicsAn 8-year-old male child presented to the emergency department with clinical features of peritonitis, raising suspicion of appendicular or small bowel perforation.Intervention/OutcomeDiagnosis of chylous ascites with primary intestinal lymphangiectasia made on laparotomy.MessageAcute peritonitis may be a presentation of primary intestinal lymphangiectasia and chylous ascites.

Keywords: mesentery acute; intestinal lymphangiectasia; acute abdomen; abdomen chylous; milky mesentery; chylous ascites

Journal Title: Indian Pediatrics
Year Published: 2018

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