Chylous ascites following operation for para-aortic lymph node dissection in a patient with cervical cancer

International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
S TakeuchiS Minami

Abstract

This is a case report of chylous ascites caused by performing para-aortic lymph node dissection for a patient with cervical cancer. Postoperative chylous ascites is a rare condition that usually develops as a result of operative trauma to the thoracic duct, cisterna chyli, or their major tributaries. It has mainly occurred in thoracic operations, and chylous ascites has rarely been reported in gynecologic surgery. It is associated with serious nutritional and immunologic consequences due to the constant loss of protein and lymphocytes. Treatment that comprises conservative and surgical procedures is selected based on disease severity. We experienced massive chylous ascites after para-aortic surgery and successfully managed it conservatively with dietary intervention and parenteral nutrition.

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Citations

Aug 18, 2009·Archives of Gynecology and Obstetrics·Glauco BaiocchiLevon Badiglian-Filho
Aug 13, 2011·Archives of Gynecology and Obstetrics·Turgut VarLeyla Mollamahmutoğlu
Aug 1, 2013·Journal of Minimally Invasive Gynecology·Yuqing ZhaoQi Zhou
Mar 17, 2010·Journal of Minimally Invasive Gynecology·Giovanni FaveroChristhardt Köhler
Oct 15, 2013·The Journal of Obstetrics and Gynaecology Research·Eun Ah KimChong Taik Park
Jan 13, 2015·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·Stefanie CorradiniWolfram Lamadé
Oct 22, 2016·Journal of Surgical Oncology·Falk C ThielMichael G Schrauder
Jun 15, 2007·International Journal of Clinical Oncology·Kimio Ushijima

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