J Korean Soc Traumatol.
2012 Sep;25(3):105-108.
Abdominal Organ Injuries with Chyloperitoneum after Blunt Tauma: A Case Report
- Affiliations
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- 1Division of Trauma and Surgical Critical Care, Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Korea. skhong94@amc.seoul.kr
- 2Department of Nursing, Asan Medical Center, Korea.
Abstract
- Chyloperitoneum or chylous ascite after trauma is a rare condition. It can develop after direct injuries of lymphatic vessels or cisterna chyli. Though isolated chyle duct injury has sometimes been reported, chyloperitoneum is generally accompanied by various kinds of damage to other intraabdominal organs. There's still no established therapeutic protocol regarding the treatment of chyloperitoneum when it is accompanied by the serious injuries of intraabdominal organs. We describe a 66-year-old male with serious intraabdominal organ injuries after blunt trauma. In our case, chyloperitoneum developed due to the injuries to the mesenteric lymph vessels and compression of cisterna chyli by hematoma around aorta.