What symptom does chylous ascites have?

summary

Chyloperitoneum is the accumulation of chylous fluid in the abdominal cavity caused by abnormal leakage of chylous fluid in the abdominal lymph system. This disease is rare and the causes are complex. However, it is caused by congenital developmental disorders and trauma. The disease has a great influence on the nutritional development of patients, timely diagnosis and treatment has a better prognosis. The etiology of chyloperitoneum is complex, including congenital chyloperitoneum and acquired chyloperitoneum. What symptom does chylous ascites have? Now let's talk about it.

What symptom does chylous ascites have?

Congenital chyloperitoneum is caused by congenital abnormality of abdominal lymphatics, that is, hypoplasia, absence and stenosis of thoracic duct, mesenteric lymph trunk or chylous cistern, etc., resulting in increased pressure, expansion and rupture of intestinal lymphatics, or congenital fissure.

Acquired chyloperitoneum may be caused by trauma or surgical injury of lymphatic vessels; Chyloperitoneum can be secondary to intra-abdominal infection, especially after mesenteric lymph node tuberculosis or tuberculous peritonitis; Tumor or fibrous band compression can cause lymphatic obstruction, distal lymphatic stasis, expansion, rupture, forming chyloperitoneum.

Chylous fluid of chronic peritonitis type leaks into the abdominal cavity slowly. It has less stimulation to the peritoneum and less inflammatory reaction. There is no obvious symptoms of peritoneal stimulation. It is manifested as abdominal swelling, weight loss or no gain, chylous diarrhea, hypoproteinemia and malnutrition. In severe cases, it can affect respiratory and circulatory functions. Abdominal examination shows abdominal distension and abdominal wall vein distention, Abdominal percussion had mobile murmur, positive fluid tremor, scrotal effusion, or scrotal and lower extremity edema. Acute peritonitis is rare, more than eating a lot, especially 4-6 hours after fat meal. It is acute chemical peritonitis caused by chylous fluid suddenly and rapidly entering abdominal cavity. Acute abdominal pain, initially a wide range of abdominal pain, location, sometimes colic, and gradually intensified. Accompanied by nausea, vomiting, abdominal swelling, abdominal tenderness or localized tenderness, often manifested as right or left lower abdominal localized tenderness and muscle tension. In the early stage, the bowel sounds were higher than those in the late stage. It is often misdiagnosed as acute appendicitis or ulcer perforation.

matters needing attention

It is the most simple and reliable diagnostic method to extract chyloid ascites by abdominal puncture. According to the characteristics of ascites, white blood cell count and bacteriological examination.