| Autor: |
J C Pinto, S Oliveira, L Duarte, M Ferreira, C Marques, C Casimiro |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Oxford Medical Case Reports. 2022 |
| ISSN: |
2053-8855 |
| DOI: |
10.1093/omcr/omac062 |
| Popis: |
Chyloperitoneum is a rare manifestation of gastric carcinoma, generally occurring late in the course of the disease with a poor prognosis. We report an unusual case of chyloperitoneum in a patient with gastric carcinoma. A 61-year-old male patient presented with postprandial fullness, nausea and weight loss. The upper gastrointestinal endoscopy demonstrated a stenosing lesion of the esophagogastric junction. A biopsy was made and revealed a signet-ring cell gastric adenocarcinoma. The staging CT scan showed multiple abdominal lymphadenopathies and mild ascites. The patient underwent a staging laparoscopy that revealed a large carcinoma of the gastric cardia and a milky-appearing peritoneal fluid. A peritoneal washing and abdominal drainage were performed. The fluid analysis showed a high concentration of triglycerides, compatible with a chyloperitoneum. The patient started medium chain triglycerides-based diet with good response. This case report emphasizes that chyloperitoneum should be considered when assessing patients with gastric carcinoma. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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