J Korean Surg Soc.  2011 Dec;81(Suppl 1):S64-S68. 10.4174/jkss.2011.81.Suppl1.S64.

Chylous ascites caused by acute pancreatitis with portal vein thrombosis

  • 1Department of Surgery, Wonkwang University Hospital, Wonkang University College of Medicine, Iksan, Korea. chaekm@wonkwang.ac.kr


Chylous ascites is defined as the accumulation of chyle in the peritoneum due to obstruction or rupture of the peritoneal or retroperitoneal lymphatic glands. Chylous ascites that arises from acute pancreatitis with portal vein thrombosis is very rare. We report here on a case of chylous ascite that was caused by acute pancreatitis with portal vein thrombosis, in which the patient showed an impressive response to conservative therapy with total parenteral nutrition and octerotide. We also review the relevant literature about chylous ascites with particular reference to the management of this rare disease.


Chyle; Chylous ascites; Acute pancreatitis; Portal vein thrombosis; Pancreatic neoplasms
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