González-Chávez MA, Villegas-Tovar E, Faes-Petersen R, Huacuja-Blanco RR, Díaz-Girón-Gidi A, González Hermosillo-Cornejo D, Ransom-Rodríguez A, Cervantes-Zorrilla R, Álvarez-Rivero V, Torres-Villalobos GM

Language: English
References: 9
Page: 53-57
PDF size: 215.57 Kb.

ABSTRACT

The chylous ascites is an extremely rare complication of the laparoscopic Roux-en-Y gastric bypass procedure (LRYGB). True chylous ascites is defined as the presence of ascitic fluid with high fat (triglycerides) content, usually above 110 mg/dL. We report the case of a 36-year-old patient with a LRYGB history, performed a year before. This time, she was admitted with severe abdominal pain, bloating, constipation, and obstipation. A CT scan of the abdomen showed diffuse ascites and an internal hernia. We decided to perform diagnostic laparoscopy finding a large amount of chylous fluid and a Petersen hernia. The internal hernia was reduced, it was not necessary to do intestinal resection, mesenteric defect was closed and chylous ascites was drained. The patient had an uneventful postoperative course and was discharged 48 h after being admitted to hospital.

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