[Chylous ascites and acute appendicitis - more than an accidental finding?]. 
Chylous ascites with a simultaneously presenting acute appendicitis is a uncommon finding which has been rarely reported in present literature.  We present the case of a 36 years old patient showing the clinical signs of an acute appendicitis with an intraoperative finding of chylous ascites.  The causing factors for chylous ascites are numerous, the clinical manifestations nonspecific.  Thus the adequate diagnostic measures vary.  The therapy is mainly based on medicational and dietary treatment but also benefits from a surgical approach.