PMC9720556_01
A: Ascitic abdomen with previous laparotomy scars. B: Drainage of chyle ascites.
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Ascitic fluid tapping was done under sterile conditions using a large bore cannula (16G) attached to a collecting bag and drained 5 L of milk-like fluid (chyle) (Fig. 1).
Contrasted CT abdomen axial and coronal views show gross free fluid in the peritoneal cavity (blue arrows) displacing the small bowels centrally.
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CT scan of the abdomen and pelvis revealed a substantial amount of free fluid within the peritoneum, suggestive of severe ascites (Fig. 2).