Case Report
Copyright ©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Oct 14, 2009; 15(38): 4849-4852
Published online Oct 14, 2009. doi: 10.3748/wjg.15.4849
Acute chylous ascites mimicking acute appendicitis in a patient with pancreatitis
Emily K Smith, Edmund Ek, Daniel Croagh, Lavinia A Spain, Stephen Farrell
Emily K Smith, Department of Surgery, St Vincent’s Hospital Melbourne, c/o St Vincent’s Hospital Melbourne, 41 Victoria Parade, Fitzroy VIC 3065, Australia
Edmund Ek, Lavinia A Spain, Stephen Farrell, Department of Surgery, St Vincent’s Hospital Melbourne, 41 Victoria Parade, Fitzroy VIC 3065, Australia
Daniel Croagh, Department of Colorectal Surgery, St Vincent’s Hospital Melbourne, 41 Victoria Parade, Fitzroy VIC 3065, Australia
Author contributions: Smith EK, Ek E and Spain LA contributed equally to this work; Croagh D was involved in detailing the intra-operative pathology; Farrell S supervised the compilation of this work; The report was written by Smith EK, Ek E and Spain LA.
Correspondence to: Emily K Smith, MBBS (Hons), Department of Surgery, St Vincent’s Hospital Melbourne, c/o St Vincent’s Hospital Melbourne, 41 Victoria Parade, Fitzroy VIC 3065, Australia. emily.smith@svhm.org.au
Telephone: +61-3-92882211 Fax: +61-3-92882803
Received: June 14, 2009
Revised: August 3, 2009
Accepted: August 10, 2009
Published online: October 14, 2009
Abstract

We report a case of acute chylous peritonitis mimicking acute appendicitis in a man with acute on chronic pancreatitis. Pancreatitis, both acute and chronic, causing the development of acute chylous ascites and peritonitis has rarely been reported in the English literature. This is the fourth published case of acute chylous ascites mimicking acute appendicitis in the literature.

Keywords: Chylous ascites, Pancreatitis