{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:32:39Z","timestamp":1787758359370,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Chylous ascites is a rare form of ascites characterized by the accumulation of lymph fluid in the peritoneal cavity. Henoch-Schonlein purpura (HSP) is a form of vasculitis usually seen in children affecting small vessels. Gastrointestinal (GI) manifestations of HSP are coming to the forefront as a presenting symptom. The presence of a rash usually succeeds the GI manifestations, making diagnosis difficult and leading to unnecessary surgical interventions. Our case shows a 38-year-old female who presented with an acute abdomen followed by an erythematous rash noticed later on, with radiological investigations suggestive of acute appendicitis. Chylous ascites was found as an incidental finding on diagnostic laparoscopy with a healthy appendix.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_168_21","type":"journal-article","created":{"date-parts":[[2022,11,15]],"date-time":"2022-11-15T07:16:01Z","timestamp":1668496561000},"page":"305-308","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Chylous Ascites in a Case of Henoch-Schonlein Purpura - A Case Report and Literature Review"],"prefix":"10.4103","volume":"21","author":[{"given":"Pushkar","family":"Galam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph Kurian","family":"Mundakal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-1-20240831","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.1002\/bjs.1800791110","article-title":"Aetiology and treatment of chylous ascites","volume":"79","author":"Browse","year":"1992","journal-title":"Br J Surg"},{"key":"R3-1-20240831","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":"R4-1-20240831","doi-asserted-by":"crossref","first-page":"2011","DOI":"10.1007\/s10620-007-0147-0","article-title":"Gastrointestinal manifestations of Henoch-Schonlein purpura","volume":"53","author":"Ebert","year":"2008","journal-title":"Dig Dis Sci"},{"key":"R5-1-20240831","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1067\/msy.2000.109502","article-title":"Chylous ascites: A collective review","volume":"128","author":"Aalami","year":"2000","journal-title":"Surgery"},{"key":"R6-1-20240831","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1016\/j.jamcollsurg.2011.01.010","article-title":"Atraumatic chylous ascites: Systematic review on symptoms and causes","volume":"212","author":"Steinemann","year":"2011","journal-title":"J Am Coll Surg"},{"key":"R7-1-20240831","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1136\/ard.2005.046300","article-title":"EULAR\/PReS endorsed consensus criteria for the classification of childhood vasculitides","volume":"65","author":"Ozen","year":"2006","journal-title":"Ann Rheum Dis"},{"key":"R8-1-20240831","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.1111\/j.1651-2227.2004.tb02623.x","article-title":"Gastrointestinal manifestations in Henoch-Sch\u00f6nlein purpura: A review of 261 patients","volume":"93","author":"Chang","year":"2004","journal-title":"Acta Paediatr"},{"key":"R9-1-20240831","doi-asserted-by":"crossref","first-page":"899","DOI":"10.3346\/jkms.2005.20.5.899","article-title":"Acute appendicitis in Henoch-Sch\u00f6nlein purpura: A case report","volume":"20","author":"Kim","year":"2005","journal-title":"J Korean Med Sci"},{"key":"R10-1-20240831","first-page":"367","article-title":"Acute appendicitis: A complication of Henoch-Sch\u00f6nlein purpura","volume":"27","author":"Mohammed","year":"1982","journal-title":"J R Coll Surg Edinb"},{"key":"R11-1-20240831","doi-asserted-by":"crossref","first-page":"E24","DOI":"10.1016\/j.jpedsurg.2004.10.002","article-title":"Perforated appendicitis in a child with Henoch-Sch\u00f6nlein purpura","volume":"40","author":"Binstadt","year":"2005","journal-title":"J Pediatr Surg"},{"key":"R12-1-20240831","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1111\/j.1365-2559.1989.tb03080.x","article-title":"Lymph node pathology in Henoch-Sch\u00f6nlein purpura","volume":"15","author":"Akosa","year":"1989","journal-title":"Histopathology"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_168_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:15:07Z","timestamp":1787757307000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_168_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_168_21","relation":{},"ISSN":["1596-3519"],"issn-type":[{"value":"1596-3519","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10]]}}}