Chylous fluid in the peritoneal cavity is a rare clinical condition that occurs as a result of disruption of the abdominal lymphatics. Multiple causes have been described (table I). Congenital chylous ascites is the commonest cause of chyloperitoneum in young children. Other causes in children include idiopathic or obstructive lesions caused by malrotation, intussusception, incarcerated hernia,...

A 38-year-old woman in the 27th week of gestation was admitted for sudden onset of epigastric pain, vomiting, and nausea, which worsened after food ingestion. The patient described 1 year of self-limited episodes of abdominal pain that improved with defecation and were associated with a change in frequency and consistency of stools that were interpreted as irritable bowel syndrome. On physical ...

Malrotation is defined as an anomaly of rotation and fixation of the midgut. It can lead to acute intestinal obstruction and is a rare but important cause of bowel obstruction in adults. A 76-year-old man was brought to the Emergency Room (ER) due to vomiting, anorexia and abdominal pain over the past three days. Routine abdominal X-ray revealed interposition of the hepatic flexure of the colon...

Midgut malrotation (MMR) is a congenital anomaly referring to either nonrotation or incomplete rotation of the primitive intestinal loop around the axis of the superior mesenteric artery during fetal development. Adult MMR is rare and majority of MMR in adults remains asymptomatic throughout life. The increasing use of diagnostic imaging for acute abdominal pain will lead to more incidental rec...