{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T12:53:43Z","timestamp":1775912023190,"version":"3.50.1"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"vor","delay-in-days":31,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Here, we report a rare case of small bowel volvulus with chylous ascites. A 93-year-old man with a medical history of angina pectoris presented to the emergency department with abdominal pain. Computed tomography revealed a whirl sign of the mesenteric vessels with the axis of the superior mesenteric artery. A diagnosis of small bowel volvulus was made, and emergency surgery was performed. Laparoscopic examination revealed chylous ascites. Due to severe intestinal edema and difficulty in manipulating the forceps, surgery was transferred to a laparotomy. The entire small bowel was twisted 360\u00b0 counterclockwise, requiring manual untwisting. Examination of the intestinal tract after untwisting revealed no evidence of ischemia or necrosis. However, because a diverticulum was observed on the mesenteric side of the upper jejunum and considering the influence of secondary small bowel volvulus, partial small bowel resection was performed. The patient had a favorable postoperative course.<\/jats:p>","DOI":"10.1093\/jscr\/rjae017","type":"journal-article","created":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T13:45:56Z","timestamp":1706795156000},"source":"Crossref","is-referenced-by-count":2,"title":["Small bowel volvulus with chylous ascites: a case report"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6679-3677","authenticated-orcid":false,"given":"Shun","family":"Nakamura","sequence":"first","affiliation":[{"name":"Shinbeppu Hospital Department of Surgery, , 3898 Oaza Tsurumi, Beppu 874-0833, Oita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaaki","family":"Tajima","sequence":"additional","affiliation":[{"name":"Shinbeppu Hospital Department of Surgery, , 3898 Oaza Tsurumi, Beppu 874-0833, Oita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoki","family":"Yokoyama","sequence":"additional","affiliation":[{"name":"Shinbeppu Hospital Department of Surgery, , 3898 Oaza Tsurumi, Beppu 874-0833, Oita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuyuki","family":"Kikuchi","sequence":"additional","affiliation":[{"name":"Shinbeppu Hospital Department of Surgery, , 3898 Oaza Tsurumi, Beppu 874-0833, Oita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,1,30]]},"reference":[{"key":"2024020113454836100_ref1","first-page":"132","article-title":"Chylous peritonitis with small bowel obstruction","volume":"77","author":"Murugan","year":"2008","journal-title":"Ulster Med J"},{"key":"2024020113454836100_ref2","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.amjsurg.2014.12.048","article-title":"Small bowel volvulus in the adult populace of the United States: results from a population-based study","volume":"210","author":"Coe","year":"2015","journal-title":"Am J Surg"},{"key":"2024020113454836100_ref3","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1097\/00000658-199208000-00003","article-title":"Acute small bowel volvulus in adults. A sporadic form of strangulating intestinal obstruction","volume":"216","author":"Roggo","year":"1992","journal-title":"Ann Surg"},{"key":"2024020113454836100_ref4","first-page":"59","article-title":"Chylous ascites and chylothrax due to constricitive pericarditis in a patient undergoing haemodialysis","volume":"62","author":"Riza Altiparmak","year":"2004","journal-title":"Neth J Med"},{"key":"2024020113454836100_ref5","doi-asserted-by":"crossref","first-page":"1896","DOI":"10.1016\/S0002-9270(02)04268-5","article-title":"Chylous ascites","volume":"97","author":"C\u00e1rdenas","year":"2002","journal-title":"Am J Gastroenterol"},{"key":"2024020113454836100_ref6","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1002\/ccr3.88","article-title":"Midgut volvulus presenting with acute chylous peritonitis","volume":"2","author":"Pai","year":"2014","journal-title":"Clin Case Rep"},{"key":"2024020113454836100_ref7","doi-asserted-by":"crossref","first-page":"391093","DOI":"10.1155\/2015\/391093","article-title":"A fatal twist: volvulus of the small intestine in a 46-year-old woman","volume":"2015","author":"Klein","year":"2015","journal-title":"Case Rep Med"},{"key":"2024020113454836100_ref8","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1186\/s40792-016-0207-9","article-title":"Chylous ascites associated with intestinal obstruction from volvulus due to Petersen\u2019s hernia: report of a case","volume":"2","author":"Akama","year":"2016","journal-title":"Surg Case Rep"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/1\/rjae017\/56485007\/rjae017.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/1\/rjae017\/56485007\/rjae017.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T13:46:01Z","timestamp":1706795161000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae017\/7593659"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae017","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,1]]},"published":{"date-parts":[[2024,1]]},"article-number":"rjae017"}}