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Chyloabdomen in critically ill patient after Hartmann’s procedure
Post-surgical chylous ascites (CA) is extremely rare in colon surgery, known as the extravasation of creamy fluid rich in triglycerides accumulating in the peritoneal cavity. The incidence of CA after colorectal surgery remains between 1 and 6.5%. A 71-year-old female presented to the Emergency Depa...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9113500/ https://www.ncbi.nlm.nih.gov/pubmed/35592456 http://dx.doi.org/10.1093/jscr/rjac150 |
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author | Torres-Rey, A Soler-Bernardini, H Bolaños-Avila, G |
author_facet | Torres-Rey, A Soler-Bernardini, H Bolaños-Avila, G |
author_sort | Torres-Rey, A |
collection | PubMed |
description | Post-surgical chylous ascites (CA) is extremely rare in colon surgery, known as the extravasation of creamy fluid rich in triglycerides accumulating in the peritoneal cavity. The incidence of CA after colorectal surgery remains between 1 and 6.5%. A 71-year-old female presented to the Emergency Department complaining of generalized abdominal pain, weakness and anorexia for several days ago and episodes of hematochezia which started the day before admission. Biopsy from colonoscopy revealed mucinous adenocarcinoma. Rectal mass resection with Hartmann’s procedure was performed due to obstructive recto-colonic mass. Pathology report confirmed pT4aN0M0 tumor invading through the visceral peritoneum. On post-operative Day number 4, drainage output increased, changing appearance to a whitish color. The diagnosis of CA was confirmed by obtaining >550 mg per dL of triglycerides. Changes to a high-protein, low-fat with medium chain fatty acids were made to her enteral diet. After 48 hours of diet adjustment, the drainage output of CA resolved. |
format | Online Article Text |
id | pubmed-9113500 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-91135002022-05-18 Chyloabdomen in critically ill patient after Hartmann’s procedure Torres-Rey, A Soler-Bernardini, H Bolaños-Avila, G J Surg Case Rep Case Report Post-surgical chylous ascites (CA) is extremely rare in colon surgery, known as the extravasation of creamy fluid rich in triglycerides accumulating in the peritoneal cavity. The incidence of CA after colorectal surgery remains between 1 and 6.5%. A 71-year-old female presented to the Emergency Department complaining of generalized abdominal pain, weakness and anorexia for several days ago and episodes of hematochezia which started the day before admission. Biopsy from colonoscopy revealed mucinous adenocarcinoma. Rectal mass resection with Hartmann’s procedure was performed due to obstructive recto-colonic mass. Pathology report confirmed pT4aN0M0 tumor invading through the visceral peritoneum. On post-operative Day number 4, drainage output increased, changing appearance to a whitish color. The diagnosis of CA was confirmed by obtaining >550 mg per dL of triglycerides. Changes to a high-protein, low-fat with medium chain fatty acids were made to her enteral diet. After 48 hours of diet adjustment, the drainage output of CA resolved. Oxford University Press 2022-05-17 /pmc/articles/PMC9113500/ /pubmed/35592456 http://dx.doi.org/10.1093/jscr/rjac150 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Torres-Rey, A Soler-Bernardini, H Bolaños-Avila, G Chyloabdomen in critically ill patient after Hartmann’s procedure |
title | Chyloabdomen in critically ill patient after Hartmann’s procedure |
title_full | Chyloabdomen in critically ill patient after Hartmann’s procedure |
title_fullStr | Chyloabdomen in critically ill patient after Hartmann’s procedure |
title_full_unstemmed | Chyloabdomen in critically ill patient after Hartmann’s procedure |
title_short | Chyloabdomen in critically ill patient after Hartmann’s procedure |
title_sort | chyloabdomen in critically ill patient after hartmann’s procedure |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9113500/ https://www.ncbi.nlm.nih.gov/pubmed/35592456 http://dx.doi.org/10.1093/jscr/rjac150 |
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