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Journal of the Korean Society of Traumatology 2012;25(3):105-108.
Abdominal Organ Injuries with Chyloperitoneum after Blunt Tauma: A Case Report
Young Hwan Kim, Yooun Joong Jung, Suk Kyung Hong
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.
유미복막증이 동반된 복부장기 손상
김영환∙정윤중1∙홍석경
울산대학교 의과대학 서울아산병원 외과학교실 외상 및 중환자외과, 서울아산병원 간호부1
Received: 8 August 2012   • Revised: 28 August 2012   • Accepted: 14 September 2012
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.
Key Words: Chyloperitoneum; Chylous ascite; Cisterna chyli; Trauma


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