Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Abdominal Organ Injuries with Chyloperitoneum after Blunt Tauma: A Case Report

유미복막증이 동반된 복부장기 손상

  • Kim, Young Hwan (Division of Trauma and Surgical Critical Care, Department of Surgery, University of Ulsan College of Medicine) ;
  • Jung, Yooun Joong (Asan Medical Center, Department of Nursing, Asan Medical Center) ;
  • Hong, Suk-Kyung (Division of Trauma and Surgical Critical Care, Department of Surgery, University of Ulsan College of Medicine)
  • 김영환 (울산대학교 의과대학 서울아산병원 외과학교실 외상 및 중환자외과) ;
  • 정윤중 (서울아산병원 간호부) ;
  • 홍석경 (울산대학교 의과대학 서울아산병원 외과학교실 외상 및 중환자외과)
  • Received : 2012.08.08
  • Accepted : 2012.09.14
  • Published : 2012.09.30
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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.

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