Chylous ascites following radical nephrectomy: a case report

Journal of Medical Case Reports
Shahzad S ShahMohammad S Khan

Abstract

Chylous ascites may result from diverse pathologies. Ascites results either due to blockage of the lymphatics or leak secondary to inadvertent trauma during surgery. We report the first case of chylous ascites following radical nephrectomy for a renal cell carcinoma involving the right half of a crossed fused renal ectopia. The patient was managed conservatively. Post-operative chylous ascites is a rare complication of retroperitoneal and mediastinal surgery. Most cases resolve with conservative treatment which aims at decreasing lymph production and optimizing nutritional requirements along with palliative measures. Refractory cases need either open or laparoscopic ligation of the leaking lymphatic channels. A review of the current literature on the management of post-operative chylous ascites is presented.

References

Oct 1, 1994·Clinical Imaging·R H Wachsberg, K C Cho
Aug 1, 1993·American Journal of Surgery·T S PabstV M Bernhard
Jan 17, 2002·The Journal of Urology·Ilan LeibovitchJacob Ramon

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Citations

Jul 20, 2010·The Journal of Urology·Bum Soo KimTae Gyun Kwon
Jun 24, 2017·JAAPA : Official Journal of the American Academy of Physician Assistants·Karen A Beer
Mar 27, 2018·Journal of Clinical and Translational Hepatology·Richa BhardwajGeorge Y Wu
Sep 26, 2020·Emergency Radiology·Dheeraj Reddy GopireddyChandana Lall
Oct 9, 2020·BJR Case Reports·Haseeba TawfeeqShofiq Al-Islam

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Methods Mentioned

BETA
coronary artery bypass
dissection

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