PDF(Pubmed)
Abstract：
Chylous ascites (CA) are a rare finding of triglyceride-rich peritoneal fluid within the abdominal cavity. Malignancy, cirrhosis, and trauma after abdominal surgery are the leading causes of CA in adults. Currently, there are no published guidelines on the management of CA. This report describes a case of an 18-year-old female presenting with abdominal pain and distention following median arcuate ligament syndrome (MALS) decompression. A computed tomography (CT) of the abdomen and pelvis showed large-volume ascites with normal hepatic morphology. Paracentesis and ascitic fluid studies were positive for milky fluid rich in triglyceride. Her recent history of MALS decompression revealed the cause of her acute CA to be a postoperative complication from her abdominal surgery. This case highlights the diverse etiology of ascites and the importance of a careful history and physical examination when evaluating adults with ascites.
摘要：
乳糜腹水（CA）是腹腔内富含甘油三酸酯的腹膜液的罕见发现。恶性肿瘤,肝硬化,腹部手术后的创伤是成人CA的主要原因。目前,没有已发布的CA管理指南.本报告描述了一名18岁女性在正中弓状韧带综合征（MALS）减压后出现腹痛和腹胀的情况。腹部和骨盆的计算机断层扫描（CT）显示大量腹水，肝脏形态正常。穿刺术和腹水研究对富含甘油三酸酯的乳状液体呈阳性。她最近的MALS减压史表明，急性CA的原因是腹部手术的术后并发症。该病例强调了腹水的多种病因以及在评估成人腹水时仔细的病史和体格检查的重要性。
