Chylous Ascites Secondary to Retroperitoneal Para-Aortic Lymphadenectomy: A Case Report.
cervical cancer
chylous ascites
oncology
retroperitoneal para-aortic lymphadenectomy
surgery
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
accepted:
24
02
2022
entrez:
29
3
2022
pubmed:
30
3
2022
medline:
30
3
2022
Statut:
epublish
Résumé
Chylous ascites is caused by an accumulation of lymphatic fluid in the peritoneal cavity secondary to a rupture or obstruction of the abdominal lymphatic ducts. It has a milky appearance and is rich in triglycerides. The most frequent etiologies are neoplasms, liver cirrhosis, and ruptured lymphatic vessels after abdominal surgery. Clinically, it manifests as abdominal distention and increased abdominal girth. The presence of triglycerides in ascites fluid is the most useful diagnostic criterion. Treatment consists of a high-protein diet with fat restriction and medium-chain triglyceride supplements. Surgery is reserved for refractory cases. We present the case of a 66-year-old patient with a diagnosis of chylous ascites secondary to retroperitoneal lymphadenectomy.
Identifiants
pubmed: 35345705
doi: 10.7759/cureus.22560
pmc: PMC8957285
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e22560Informations de copyright
Copyright © 2022, Gil González et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Urology. 2015 Sep;86(3):521-8
pubmed: 26210005
Ann Intern Med. 1982 Mar;96(3):358-64
pubmed: 7059101
Eur J Surg Oncol. 2001 Mar;27(2):187-9
pubmed: 11289756
An Med Interna. 2006 Apr;23(4):176-8
pubmed: 16796411
J Clin Gastroenterol. 2005 Oct;39(9):831-3
pubmed: 16145348
J Clin Transl Hepatol. 2018 Mar 28;6(1):105-113
pubmed: 29577037
Surgery. 2000 Nov;128(5):761-78
pubmed: 11056439
Am J Gastroenterol. 2002 Aug;97(8):1896-900
pubmed: 12190151
Case Rep Oncol. 2009 Aug 01;2(2):144-149
pubmed: 20740178
Nutr Hosp. 2015 Apr 01;31(4):1874-8
pubmed: 25795983
Saudi J Kidney Dis Transpl. 2016 Mar;27(2):386-90
pubmed: 26997396
Gastroenterol Hepatol. 2012 Oct;35(8):567-71
pubmed: 22608492
Mayo Clin Proc. 1996 Aug;71(8):793-6
pubmed: 8691901