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Long standing biliary colic masking chylous ascites in laparoscopic roux-en-Y gastric bypass; a case report

Overview of attention for article published in BMC Surgery, June 2018
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Title
Long standing biliary colic masking chylous ascites in laparoscopic roux-en-Y gastric bypass; a case report
Published in
BMC Surgery, June 2018
DOI 10.1186/s12893-018-0374-7
Pubmed ID
Authors

Louai R. Zaidan, Elhaitham K. Ahmed, Bachar Halimeh, Yasser Radwan, Khalil Terro

Abstract

Chylous ascites is considered to be an intra-abdominal collection of creamy colored fluid with triglyceride content of > 110 mg/dL. Chylous ascites is an uncommon but serious complication of numerous surgical interventions. However, it is a rare complication of LRYGB. An internal hernia limb defect is thought to be the underlying etiology, where the hernia will cause lymphatic vessel engorgement and lymphatic extravasation. We report a case of a 29 years old male with a 9 year history of laparoscopic Roux en y gastric bypass (LRGYB), presenting with recurrent abdominal pain for 2 months radiating to the right shoulder. Ultrasound examination revealed gallstones and the patient was subsequently admitted for laparoscopic cholecystectomy. Intraoperatively, whitish colored fluid, high in triglycerides content was aspirated. During exploration, an internal hernia limb defect was found and corrected. Post LRGYB patients with symptoms of recurrent abdominal pain should be suspected for chylous ascites reflecting an internal hernia.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 25 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 25 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 4 16%
Other 3 12%
Student > Ph. D. Student 3 12%
Student > Bachelor 2 8%
Professor > Associate Professor 2 8%
Other 2 8%
Unknown 9 36%
Readers by discipline Count As %
Medicine and Dentistry 9 36%
Arts and Humanities 1 4%
Agricultural and Biological Sciences 1 4%
Nursing and Health Professions 1 4%
Unknown 13 52%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 June 2018.
All research outputs
#18,639,173
of 23,090,520 outputs
Outputs from BMC Surgery
#630
of 1,340 outputs
Outputs of similar age
#252,990
of 328,030 outputs
Outputs of similar age from BMC Surgery
#17
of 28 outputs
Altmetric has tracked 23,090,520 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,340 research outputs from this source. They receive a mean Attention Score of 1.8. This one is in the 32nd percentile – i.e., 32% of its peers scored the same or lower than it.
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We're also able to compare this research output to 28 others from the same source and published within six weeks on either side of this one. This one is in the 3rd percentile – i.e., 3% of its contemporaries scored the same or lower than it.