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World J Gastroenterol. Jan 7, 2006; 12(1): 154-156
Published online Jan 7, 2006. doi: 10.3748/wjg.v12.i1.154
Published online Jan 7, 2006. doi: 10.3748/wjg.v12.i1.154
Spontaneous chylous peritonitis mimicking acute appendicitis: A case report and review of literature
Fu-Chi Fang, Sheng-Der Hsu, Chuang-Wei Chen, Teng-Wei Chen, Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, China
Supported by the National Natural Science Foundation of China, No. 30224801
Correspondence to: Dr. Teng-Wei Chen, Division of General Surgery, Department of Surgery, Tri-Service General Hospital, 325 Section 2, Cheng-Kung Road, Neihu 114, Taipei, Taiwan, China. arjie@pchome.com.tw
Telephone: +886-2-8792-7191
Received: May 3, 2005
Revised: June 8, 2005
Accepted: June 9, 2005
Published online: January 7, 2006
Revised: June 8, 2005
Accepted: June 9, 2005
Published online: January 7, 2006
Abstract
Acute abdominal pain with signs and symptoms of peritonitis due to sudden extravasation of chyle into the peritoneal cavity is a rare condition that is often mistaken for other disease processes. The diagnosis is rarely suspected preoperatively. We report a case of spontaneous chylous peritonitis that presented with typical symptoms of acute appendicitis such as intermittent fever and epigastric pain radiating to the lower right abdominal quadrant before admission.
Keywords: Acute abdominal pain; Chyle; Appendicitis