case_images: PMC11178667_01
case_images: preoperative computed tomography showing intra-abdominal fluid and infiltration of the epigastric fat extending to the hepatic hilum and the root of the mesentery
case_images: PAMJ-47-131-g001.jpg
case_images: PMC11178667_01_PAMJ-47-131-g001.jpg
case_images: F1
case_images: A computed tomography scan of the abdomen with contrast showed free fluid and infiltration of the epigastric fat extending to the hepatic hilum and the root of the mesentery, with thickening of the peritoneal layers, and a regular thickening of the antral and pyloric walls extending to the duodenum and proximal jejunum (Figure 1).
case_images: intra-operative view showing the milky-like appearance of the fluid in the abdominal cavity
case_images: PAMJ-47-131-g002.jpg
case_images: PMC11178667_01_PAMJ-47-131-g002.jpg
case_images: F2
case_images: Therapeutic interventions: during the exploratory laparotomy, upon entry into the peritoneum, a significant volume of milky fluid was observed within the peritoneal cavity (Figure 2), associated with a congestive wall of the small bowel due to dilated lymphatics (Figure 3).
case_images: operative view showing the congestive wall of the small bowel due to dilated lymphatics
case_images: PAMJ-47-131-g003.jpg
case_images: PMC11178667_01_PAMJ-47-131-g003.jpg
case_images: F3
case_images: Therapeutic interventions: during the exploratory laparotomy, upon entry into the peritoneum, a significant volume of milky fluid was observed within the peritoneal cavity (Figure 2), associated with a congestive wall of the small bowel due to dilated lymphatics (Figure 3).