The occurrence of chylous ascites with or without concurrent chylothorax has been reported by several authors,1 but the paucity of reports of acute peritonitis occurring in association with idiopathic chylous ascites prompts us to report the following unusual case of such a combination.
REPORT OF A CASE
R. P., a 46 year old married woman, entered Mount Zion Hospital June 26, 1950, with a history of two days of illness. About 48 hours previously she had noticed tenderness, stiffness, and swelling on the left side of her neck. This caused her moderately severe discomfort through the night, but the next morning the tenderness and the swelling had subsided and were replaced by the onset of diffuse abdominal pain, which was crampy in nature. The abdominal symptoms progressed, and by evening abdominal tenderness was so pronounced that the patient was hospitalized in a suburban hospital for observation. One day later