J Metab Bariatr Surg.  2019 Jun;8(1):22-27. 10.17476/jmbs.2019.8.1.22.

Chylous Ascites Following Bariatric Surgery Report of Two Cases

• Imam A
• Khalayleh
• Rahat M
• Mavor E
• Pines G
• Sapojnikov S

• KMID: 2451784
• DOI: http://doi.org/10.17476/jmbs.2019.8.1.22

Abstract

Chylous ascites is a rare complication following bariatric surgeries. Little data is available regarding chylous ascites following bariatric surgeries per se or in association with internal hernias. Herein we present two cases of chylous ascites following Roux-En-Y gastric bypass; the first one is a 60-year-old male who was presented to the ER six months after a gastric bypass operation suffering from abdominal pain, CT scan and upper endoscopy were normal, however chylous ascites and internal hernia were found during exploratory laparoscopy. The second case is a 39-year-old female patient who was admitted three years following the gastric bypass operation and diagnosed to have small bowel obstruction due to internal hernia, and during exploratory laparoscopy a chylous ascites was found.

Keyword

Chylous ascites; Gastric bypass; Internal hernia

MeSH Terms

Abdominal Pain
Adult
Bariatric Surgery*
Chylous Ascites*
Endoscopy
Female
Gastric Bypass
Hernia
Humans
Laparoscopy
Male
Middle Aged
Tomography, X-Ray Computed