title: Spontaneous chylous peritonitis mimicking acute appendicitis: a case report and review of literature.
abstract: Acute abdominal pain with signs and symptoms of peritonitis due to sudden extravasation of chyle into the peritoneal cavity is a rare condition that is often mistaken for other disease processes. The diagnosis is rarely suspected preoperatively. We report a case of spontaneous chylous peritonitis that presented with typical symptoms of acute appendicitis such as intermittent fever and epigastric pain radiating to the lower right abdominal quadrant before admission.
authors.affiliation: Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, 325 Section 2, Cheng-Kung Road, Neihu 114, Taipei, Taiwan, China.
authors.forename: Fu-Chi
authors.initials: FC
authors.lastname: Fang
authors.forename: Sheng-Der
authors.initials: SD
authors.lastname: Hsu
authors.forename: Chuang-Wei
authors.initials: CW
authors.lastname: Chen
authors.forename: Teng-Wei
authors.initials: TW
authors.lastname: Chen
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D000208:Acute Disease; D000328:Adult; D001064:Appendicitis / Q000175:diagnosis*; D002915:Chylous Ascites / Q000175:diagnosis*; D006801:Humans; D008297:Male