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ArtikelSymptomatic Enterocele : An Unusual Presentation of Chylous Ascites and Lymphoma  
Oleh: Ward, Renée M. ; Rardin, Charles R.
Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Obstetrics and Gynecology vol. 111 no. 02 (Feb. 2008), page 553.
Ketersediaan
  • Perpustakaan FK
    • Nomor Panggil: O01.K.2008.01
    • Non-tandon: 1 (dapat dipinjam: 0)
    • Tandon: tidak ada
    Lihat Detail Induk
Isi artikelBACKGROUND: 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.
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