Abstract
Acute chylous ascites is an affection rarely encountered among acute painful abdominal syndromes. An acute chylous ascites was observed in a 76 Year-old man without prior history. Its etiology was an acute pancreatitis. Intestinal occlusion on the 15th day post-surgery required adhesiolysis. Intestinal occlusion is exceptional after chylous acsites despite the potential adherence of the chyle. Regarding the pathogenesis, analysis of the literature and our case report suggest either a bridle, adherences, or a peri-intestinal sheath due to the organisation of the chyle at the origin of the occlusion following chyloperitonitis. Although an etiology of chylous ascites can be an intestinal occlusion, it can, although rarely, also be a more or less late complication.
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