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Chylous ascites following radical nephrectomy: a case report

INTRODUCTION: Chylous ascites may result from diverse pathologies. Ascites results either due to blockage of the lymphatics or leak secondary to inadvertent trauma during surgery. CASE PRESENTATION: We report the first case of chylous ascites following radical nephrectomy for a renal cell carcinoma...

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Autores principales: Shah, Shahzad S, Ahmed, Kamran, Smith, Richard, Mallina, Ravi, Akhbari, Pouya, Khan, Mohammad S
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2253551/
https://www.ncbi.nlm.nih.gov/pubmed/18190695
http://dx.doi.org/10.1186/1752-1947-2-3
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author Shah, Shahzad S
Ahmed, Kamran
Smith, Richard
Mallina, Ravi
Akhbari, Pouya
Khan, Mohammad S
author_facet Shah, Shahzad S
Ahmed, Kamran
Smith, Richard
Mallina, Ravi
Akhbari, Pouya
Khan, Mohammad S
author_sort Shah, Shahzad S
collection PubMed
description INTRODUCTION: Chylous ascites may result from diverse pathologies. Ascites results either due to blockage of the lymphatics or leak secondary to inadvertent trauma during surgery. CASE PRESENTATION: 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. CONCLUSION: 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.
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spelling pubmed-22535512008-02-23 Chylous ascites following radical nephrectomy: a case report Shah, Shahzad S Ahmed, Kamran Smith, Richard Mallina, Ravi Akhbari, Pouya Khan, Mohammad S J Med Case Reports Case Report INTRODUCTION: Chylous ascites may result from diverse pathologies. Ascites results either due to blockage of the lymphatics or leak secondary to inadvertent trauma during surgery. CASE PRESENTATION: 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. CONCLUSION: 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. BioMed Central 2008-01-11 /pmc/articles/PMC2253551/ /pubmed/18190695 http://dx.doi.org/10.1186/1752-1947-2-3 Text en Copyright © 2008 Shah et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Shah, Shahzad S
Ahmed, Kamran
Smith, Richard
Mallina, Ravi
Akhbari, Pouya
Khan, Mohammad S
Chylous ascites following radical nephrectomy: a case report
title Chylous ascites following radical nephrectomy: a case report
title_full Chylous ascites following radical nephrectomy: a case report
title_fullStr Chylous ascites following radical nephrectomy: a case report
title_full_unstemmed Chylous ascites following radical nephrectomy: a case report
title_short Chylous ascites following radical nephrectomy: a case report
title_sort chylous ascites following radical nephrectomy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2253551/
https://www.ncbi.nlm.nih.gov/pubmed/18190695
http://dx.doi.org/10.1186/1752-1947-2-3
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