title: Acute chylous peritonitis: Report of a case.
abstract: BACKGROUND
  Acute chylous peritonitis, a rare condition, is defined as an abrupt chylous fluid accumulation in the peritoneal space in the absence of a significant underlying pathology. Diagnosis is difficult due to abrupt onset and accompanying acute abdomen signs.
  
  
  METHODS
  Here we presented the case of a 32-year-old female patient who underwent laparoscopy due to acute abdomen findings and was diagnosed with acute chylous peritonitis. No underlying pathologies were detected, and only irrigation and drainage were applied. She was discharged unproblematically with a low-fat diet and somatostatin administration. No recurrence occurred, and no other pathologies were encountered during her 9-month visit.
  
  
  CONCLUSIONS
  Chylous fluid accumulation is reported to arise from various etiological factors such as trauma, chronic liver diseases, tuberculosis, filariasis, radiation, abdominal aorta surgery, different peritoneal infection and extended lymph node dissections. We have presented an acute chylous peritonitis case that was admitted with acute abdomen findings and followed up and treated with laparoscopy.
  
  
  CONCLUSIONS
  In conclusion, this case demonstrates the effectiveness of laparoscopy in acute abdomen cases in which a specific preoperative diagnosis cannot be made. Aspiration of the fluid and drainage comprise a sufficient therapy if a focus cannot be found. Postoperative somatostatin use may be beneficial.
authors.affiliation: Department of Surgery, Medicabil Hospital, Bursa, Turkey. Electronic address: ozguchalil@gmail.com.
authors.forename: Halil
authors.initials: H
authors.lastname: Ozgüç
authors.forename: Mustafa
authors.initials: M
authors.lastname: Narmanlı
authors.forename: Mehmet Kürşad
authors.initials: MK
authors.lastname: Keskin