{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:13:45Z","timestamp":1753877625818,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T00:00:00Z","timestamp":1656288000000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Chyloperitoneum is a rare manifestation of gastric carcinoma, generally occurring late in the course of the disease with a poor prognosis. We report an unusual case of chyloperitoneum in a patient with gastric carcinoma. A 61-year-old male patient presented with postprandial fullness, nausea and weight loss. The upper gastrointestinal endoscopy demonstrated a stenosing lesion of the esophagogastric junction. A biopsy was made and revealed a signet-ring cell gastric adenocarcinoma. The staging CT scan showed multiple abdominal lymphadenopathies and mild ascites. The patient underwent a staging laparoscopy that revealed a large carcinoma of the gastric cardia and a milky-appearing peritoneal fluid. A peritoneal washing and abdominal drainage were performed. The fluid analysis showed a high concentration of triglycerides, compatible with a chyloperitoneum. The patient started medium chain triglycerides-based diet with good response. This case report emphasizes that chyloperitoneum should be considered when assessing patients with gastric carcinoma.<\/jats:p>","DOI":"10.1093\/omcr\/omac062","type":"journal-article","created":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T10:38:26Z","timestamp":1656326306000},"source":"Crossref","is-referenced-by-count":0,"title":["Chyloperitoneum due to gastric carcinoma: a case report"],"prefix":"10.1093","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1868-360X","authenticated-orcid":false,"given":"J C","family":"Pinto","sequence":"first","affiliation":[{"name":"Servi\u00e7o de Cirurgia Geral , Centro Hospitalar Tondela Viseu EPE, Viseu, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Geral , Centro Hospitalar Tondela Viseu EPE, Viseu, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Duarte","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Geral , Centro Hospitalar Tondela Viseu EPE, Viseu, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Geral , Centro Hospitalar Tondela Viseu EPE, Viseu, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Marques","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Geral , Centro Hospitalar Tondela Viseu EPE, Viseu, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Casimiro","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Geral , Centro Hospitalar Tondela Viseu EPE, Viseu, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,6,23]]},"reference":[{"key":"2022062710373778300_ref1","doi-asserted-by":"crossref","first-page":"487","DOI":"10.4103\/1119-3077.104536","article-title":"Chylous ascites due to signet ring cell gastric adenocarcinoma","volume":"15","author":"De Mello","year":"2012","journal-title":"Niger J Clin Pract"},{"key":"2022062710373778300_ref2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2014\/240473","article-title":"Chylous ascites: evaluation and management","volume":"2014","author":"Al-Busafi","year":"2014","journal-title":"ISRN Hepatol"},{"key":"2022062710373778300_ref3","doi-asserted-by":"crossref","first-page":"105","DOI":"10.14218\/JCTH.2017.00035","article-title":"Chylous ascites: a review of pathogenesis, diagnosis and treatment","volume":"6","author":"Bhardwaj","year":"2018","journal-title":"J Clin Transl Hepatol"},{"key":"2022062710373778300_ref4","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1111\/apt.14284","article-title":"Review article: the diagnostic approach and current management of chylous ascites","volume":"46","author":"Lizaola","year":"2017","journal-title":"Aliment Pharmacol Ther"},{"key":"2022062710373778300_ref5","doi-asserted-by":"crossref","first-page":"583","DOI":"10.21873\/invivo.11810","article-title":"Successful conversion surgery following Chylous ascites after Nivolumab for advanced gastric cancer","volume":"34","author":"Toyota","year":"2020","journal-title":"In Vivo"},{"key":"2022062710373778300_ref6","doi-asserted-by":"crossref","first-page":"2050312120938221","DOI":"10.1177\/2050312120938221","article-title":"The retrospective research of enteral nutrition with medium-chain triglyceride and total parenteral nutrition sup\u2122port of postoperative chylothorax in adults","volume":"8","author":"Zheng","year":"2020","journal-title":"SAGE Open Med"},{"key":"2022062710373778300_ref7","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1053\/j.tvir.2016.10.006","article-title":"Percutaneous treatment of Chylous ascites","volume":"19","author":"Kim","year":"2016","journal-title":"Tech Vasc Interv Radiol"},{"key":"2022062710373778300_ref8","article-title":"Successful minimal invasive treatment of chylous ascites following pancreaticoduodenectomy: a case report and review of literature","volume":"66","author":"Nguyen","year":"2021","journal-title":"Ann Med Surg (Lond)"},{"key":"2022062710373778300_ref9","doi-asserted-by":"crossref","first-page":"e115","DOI":"10.1308\/rcsann.2020.0037","article-title":"Lymphatic leakage after laparoscopic sleeve gastrectomy; presentation, management and review of the literature","volume":"102","author":"Bora","year":"2020","journal-title":"Ann R Coll Surg Engl"},{"key":"2022062710373778300_ref10","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1272\/jnms.JNMS.2021_88-310","article-title":"Ligation and fibrin glue spraying for intractable Chylous ascites after radical gastrectomy for gastric cancer: case report and literature review","volume":"88","author":"Kakinuma","year":"2021","journal-title":"J Nippon Med Sch"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2022\/6\/omac062\/44221914\/omac062.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2022\/6\/omac062\/44221914\/omac062.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T10:38:38Z","timestamp":1656326318000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omac062\/6614601"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,1]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,6,1]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omac062","relation":{},"ISSN":["2053-8855"],"issn-type":[{"type":"electronic","value":"2053-8855"}],"subject":[],"published-other":{"date-parts":[[2022,6]]},"published":{"date-parts":[[2022,6,1]]},"article-number":"omac062"}}