Laparoscopic finding of chylous ascites and intestinal malrotation in an infant presenting with left inguinal hernia

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Faiz U ShariffDavid P Drake

Abstract

This case report illustrates an unexpected advantage of using the laparoscopic approach for inguinal hernia repair in infants. In this paper, we report an infant referred to us with a diagnosis of an irreducible left inguinal hernia. He presented with a 1-day history of bilious vomiting and poor weight gain on breastfeeding. On arrival, a reducible left inguinal hernia was found and he was scheduled to have a laparoscopic inguinal hernia repair. During laparoscopy, chylous ascites was noted and the transverse colon and appendix could not be visualized. This raised the suspicion of malrotation with obstruction, which was confirmed on an upper gastrointestinal contrast study. He was taken back to the operating theater and a malrotation with volvulus was confirmed at laparotomy. A Ladd's procedure was performed, and he made an uneventful recovery.

References

Aug 1, 1989·Journal of Pediatric Surgery·D M PowellC D Smith
Aug 1, 1985·Journal of Pediatric Gastroenterology and Nutrition·W J CochranT Curtis
Sep 1, 1967·Archives of Surgery·J S Vasko, R I Tapper
Mar 1, 1995·Journal of Pediatric Surgery·D KluthW Lambrecht
Dec 5, 2003·Seminars in Pediatric Surgery·D KluthH Fiegel

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Citations

Mar 15, 2011·Journal of the American College of Surgeons·Daniel C SteinemannAntonio Nocito
Oct 16, 2010·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Megan HansonRobert B Lim
Jan 29, 2010·Journal of Pediatric Surgery·Abdalla E ZarrougMark L Wulkan
Sep 27, 2016·Surgery·Gabriele PoillucciFederica Pederiva

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