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Chylous ascites: Why exercise is bad for you.
MedLine Citation:
PMID:  23174523     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The development of chylous ascites is usually associated with trauma, iatrogenic or otherwise. Blunt abdominal trauma producing hyperextension or hyperflexion may cause disruption to lymphatic vessels causing chylous ascites.
PRESENTATION OF CASE: This report describes the case of a 38-year-old gentleman who presented to the emergency department with severe abdominal pain after completing a triathlon. As the patient was in severe pain, an abdominal CT was performed which demonstrated a possible mid gut volvulus. Subsequent laparotomy noted a significant volume of intra-abdominal chyle with no other abnormalities.
DISCUSSION: This is the first report of chylous ascites occurring without associated abdominal pathology after a period of strenuous exercise.
CONCLUSION: Chylous ascites can occur as a result of hyperreflexion and hyperextension injuries sustained during strenuous exercise.
Authors:
N Tewari; A Bhalla; S Iftikhar
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Publication Detail:
Type:  Journal Article     Date:  2012-10-26
Journal Detail:
Title:  International journal of surgery case reports     Volume:  4     ISSN:  2210-2612     ISO Abbreviation:  Int J Surg Case Rep     Publication Date:  2013  
Date Detail:
Created Date:  2013-01-08     Completed Date:  2013-01-09     Revised Date:  2013-04-03    
Medline Journal Info:
Nlm Unique ID:  101529872     Medline TA:  Int J Surg Case Rep     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  118-20     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Royal Derby Hospitals NHS Foundation Trust, United Kingdom. Electronic address: nilanjana_t@yahoo.co.uk.
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