Internal hernia in a patient with chylous ascites: a case report

Chylous ascites is diagnosed through paracentesis and triglyceride testing. In patients with a prior abdominal surgery, particularly those who have undergone subtotal gastrectomy, it is prudent to consider the possibility of an internal hernia, even in the presence of negative imaging results. Conservative management frequently proves inadequate, while laparoscopic exploration serves a dual purpose of diagnosis and treatment, facilitating adhesiolysis and hernia reduction.

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Publication Details

Journal
Frontiers in Medicine
Published
2025-11-24
DOI
https://doi.org/10.3389/fmed.2025.1640485
Primary Topic
Lymphatic Disorders and Treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

Internal hernia in a patient with chylous ascites: a case report

Yifei Wang, Lei Li, Tao Wang
Frontiers in Medicine
Lymphatic Disorders and Treatments
article

Internal hernia in a patient with chylous ascites: a case report

Yifei Wang, Lei Li, Tao Wang
article en

Abstract

Chylous ascites is diagnosed through paracentesis and triglyceride testing. In patients with a prior abdominal surgery, particularly those who have undergone subtotal gastrectomy, it is prudent to consider the possibility of an internal hernia, even in the presence of negative imaging results. Conservative management frequently proves inadequate, while laparoscopic exploration serves a dual purpose of diagnosis and treatment, facilitating adhesiolysis and hernia reduction.

Frontiers in MedicineVol. 12
Hebei North University (CN)
Openalex Percentile: Top 45%
Lymphatic Disorders and Treatments
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Internal hernia in a patient with chylous ascites: a case report — Yifei Wang, Lei Li, et al. · Frontiers in Medicine (2025) | TGRS Research Map | TGRS