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Acute Chylous Peritonitis

Acute Chylous Peritonitis Abstract THE FINDINGS of free chyle in the peritoneal cavity as the only cause for a patient's "acute abdomen" is an unusual and startling experience. Chronic chylous effusion, either into the peritoneal cavity as ascites or into the chest as chylothorax, is a not infrequent clinical phenomenon and is usually accompanied by little or no acute discomfort to the patient. Acute chylous peritonitis, on the other hand, results from the sudden outpouring of chylous fluid into the free peritoneal cavity, from any of a number of causes, and produces all the signs and symptoms suggestive of an acute abdominal catastrophe. Just as chronic chylous ascites and chylothorax are not disease entities, but rather symptoms of another underlying process, so too, acute chylous peritonitis is a clinical and pathophysiologic manifestation of an underlying disease process. This acute process, dramatic and emergent when it appears, is seldom recognized. Renner, in 1910, described the References 1. Altman, P.L.: Blood and Other Body Fluids , Washington, DC: Federation of American Societies for Experimental Biology, 1961, p 307. 2. Bloom, B., et al: Intestinal Lymph as Pathway for Transport of Absorbed Fatty Acids of Different Chain Lengths , Amer J Physiol 166:451, 1951. 3. Davis, H.K.: Statistical Study of Thoracic Duct in Man , Amer J Anat 17:211, 1914-1915.Crossref 4. DeGeus, A.: Acute Chylous Peritonitis , Nederl T Geneesk 99:3890, 1955. 5. Frazer, A.C.: Digestion and Absorption of Fat , Arch Sci Physiol 2:15-41, 1948. 6. Gray, H.: Anatomy of the Human Body , ed 27, Goss, C. M. (ed.), Philadelphia: Lea & Febiger, 1959, p 782. 7. Haugen, J.: Ascites Chylous , Acta Med Scand 170:591, 1961.Crossref 8. Holian, D.K.: Acute Chylous Peritonitis , Minnesota Med 42:431, 1959. 9. Karp, L.M., and Harris, F.I.: Acute Chylous Peritonitis , JAMA 14:556, 1951. 10. Levering, J.W.: Traumatic Chylous Ascites: Case Report , Amer J Surg 65:434, 1944.Crossref 11. Madding, G.K.; McLaughlin, R.F.; and McLaughlin, R.F., Jr.: Acute Chylous Peritonitis , Ann Surg 147:419, 1958.Crossref 12. Martinson, E.J.: Acute Chylous Ascites , Minnesota Med 45:707, 1962. 13. Mayerson, H.S.: Lymphatic Vessels and Lymph , in Blood Vessels and Lymphatics , Abramson, D. I. (ed.), New York: Academic Press, 1962, p 701. 14. Renner, A.: Chylus als Bruchwasser beim Einge. klemmten Bruch , Beitr Klin Chir 70:695, 1910. 15. Stevenson, D. L., and Frankel, E.: Chyloperitoneum Following Spontaneous Vascular Lesion , Clin J London 74:112, 1945. 16. Synek, J.: Case of Chylous Ascites Simulating Acute Appendicitis , Casop Lek Cesk 73:155, 1934. 17. Trotzig, J.: Chylous Peritonitis: Report of Case , J Iowa Med Soc 45:232, 1955. 18. Walker, J.C.: Acute Chylous Peritonitis , Lancet 270:83, 1956.Crossref 19. Wren, H., and Lucas, J.: Acute Chyloperitoneum: Case Report , J Louisiana Med Soc 113:69, 1961. 20. Yoffey, J.M., and Courtice, F.C.: Lymphatics, Lymph, and Lymphoid Tissue , ed 2, Cambridge, Mass: Harvard University Press, 1956, p 137. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Acute Chylous Peritonitis

KRIZEK, T. J.; DAVIS, J. H.
Archives of Surgery , Volume 91 (2) – Aug 1, 1965
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References (26)

Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1965.01320140043009
Publisher site
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Abstract

Abstract THE FINDINGS of free chyle in the peritoneal cavity as the only cause for a patient's "acute abdomen" is an unusual and startling experience. Chronic chylous effusion, either into the peritoneal cavity as ascites or into the chest as chylothorax, is a not infrequent clinical phenomenon and is usually accompanied by little or no acute discomfort to the patient. Acute chylous peritonitis, on the other hand, results from the sudden outpouring of chylous fluid into the free peritoneal cavity, from any of a number of causes, and produces all the signs and symptoms suggestive of an acute abdominal catastrophe. Just as chronic chylous ascites and chylothorax are not disease entities, but rather symptoms of another underlying process, so too, acute chylous peritonitis is a clinical and pathophysiologic manifestation of an underlying disease process. This acute process, dramatic and emergent when it appears, is seldom recognized. Renner, in 1910, described the References 1. Altman, P.L.: Blood and Other Body Fluids , Washington, DC: Federation of American Societies for Experimental Biology, 1961, p 307. 2. Bloom, B., et al: Intestinal Lymph as Pathway for Transport of Absorbed Fatty Acids of Different Chain Lengths , Amer J Physiol 166:451, 1951. 3. Davis, H.K.: Statistical Study of Thoracic Duct in Man , Amer J Anat 17:211, 1914-1915.Crossref 4. DeGeus, A.: Acute Chylous Peritonitis , Nederl T Geneesk 99:3890, 1955. 5. Frazer, A.C.: Digestion and Absorption of Fat , Arch Sci Physiol 2:15-41, 1948. 6. Gray, H.: Anatomy of the Human Body , ed 27, Goss, C. M. (ed.), Philadelphia: Lea & Febiger, 1959, p 782. 7. Haugen, J.: Ascites Chylous , Acta Med Scand 170:591, 1961.Crossref 8. Holian, D.K.: Acute Chylous Peritonitis , Minnesota Med 42:431, 1959. 9. Karp, L.M., and Harris, F.I.: Acute Chylous Peritonitis , JAMA 14:556, 1951. 10. Levering, J.W.: Traumatic Chylous Ascites: Case Report , Amer J Surg 65:434, 1944.Crossref 11. Madding, G.K.; McLaughlin, R.F.; and McLaughlin, R.F., Jr.: Acute Chylous Peritonitis , Ann Surg 147:419, 1958.Crossref 12. Martinson, E.J.: Acute Chylous Ascites , Minnesota Med 45:707, 1962. 13. Mayerson, H.S.: Lymphatic Vessels and Lymph , in Blood Vessels and Lymphatics , Abramson, D. I. (ed.), New York: Academic Press, 1962, p 701. 14. Renner, A.: Chylus als Bruchwasser beim Einge. klemmten Bruch , Beitr Klin Chir 70:695, 1910. 15. Stevenson, D. L., and Frankel, E.: Chyloperitoneum Following Spontaneous Vascular Lesion , Clin J London 74:112, 1945. 16. Synek, J.: Case of Chylous Ascites Simulating Acute Appendicitis , Casop Lek Cesk 73:155, 1934. 17. Trotzig, J.: Chylous Peritonitis: Report of Case , J Iowa Med Soc 45:232, 1955. 18. Walker, J.C.: Acute Chylous Peritonitis , Lancet 270:83, 1956.Crossref 19. Wren, H., and Lucas, J.: Acute Chyloperitoneum: Case Report , J Louisiana Med Soc 113:69, 1961. 20. Yoffey, J.M., and Courtice, F.C.: Lymphatics, Lymph, and Lymphoid Tissue , ed 2, Cambridge, Mass: Harvard University Press, 1956, p 137.

Journal

Archives of Surgery – American Medical Association

Published: Aug 1, 1965

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