Symptomatic enterocele. An unusual presentation of chylous ascites and lymphoma.

Abstract:

BACKGROUND:Chylous ascites is a rare phenomenon caused by extravasation of chyle from the lymphatic system. In Western countries, the majority of adult cases are due to occlusion of the lymphatics secondary to a lymphoma or other malignancy. CASE:A middle-aged woman with reports of fecal urgency, incomplete bowel evacuation, and recurrent pelvic organ prolapse presented for surgical correction of a posterior vaginal defect. During the repair, a sac filled with milky white fluid was found ventral to the rectum. Further dissection revealed a large enterocele filled with chylous ascites. Postoperatively, diffuse lymphadenopathy was detected by computed tomography imaging, and a biopsy confirmed follicular lymphoma. CONCLUSION:Repair of symptomatic pelvic organ prolapse revealed underlying chylous ascites and lymphoma. Ascites may have exacerbated underlying support defects in the pelvic floor.

journal_name

Obstet Gynecol

authors

Ward RM,Rardin CR

doi

10.1097/01.AOG.0000285479.79030.94

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

553-5

issue

2 Pt 2

eissn

0029-7844

issn

1873-233X

pii

111/2/553

journal_volume

111

pub_type

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