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- Title
Chylous Ascites Accompanying Internal Hernia after Total Gastrectomy with Roux-en-Y Reconstruction.
- Authors
Ryota Koyama; Yoshiaki Maeda; Nozomi Minagawa; Toshiki Shinohara; Tomonori Hamada
- Abstract
We report the case of a 69-year-old man with a history of esophagogastric junction cancer (Barrett's esophageal cancer; pT1b [SM], N0, M0, pStage IA) that was surgically resected 2 years prior to the present episode. Recurrence was not observed during follow-up. Following complaints of dysphagia and abdominal pain, computed tomography revealed signs of internal hernia. Thus, laparoscopic exploration was performed. Intraoperatively, accumulation of chylous ascites accompanying the internal hernia through the jejunojejunostomy mesenteric defect was observed, which was successfully treated with laparoscopic hernia reduction and defect closure by sutures without intestinal resection. Here, we discuss the case and report that along with previous studies, our study suggests that chylous ascites might be a reliable sign of intestinal viability for herniated intestines.
- Subjects
HERNIA; ASCITES; GASTRECTOMY; ESOPHAGOGASTRIC junction cancer; ABDOMINAL pain
- Publication
Case Reports in Gastroenterology, 2019, Vol 13, Issue 3, p481
- ISSN
1662-0631
- Publication type
Article
- DOI
10.1159/000504565