Chylous ascites following para-aortic lymphadenectomy: a case report.

Abstract:

BACKGROUND:Chylous ascites is an uncommon complication following para-aortic lymph node dissection in the management of gynecologic malignancies. Treatment options are serial paracentesis, medium-chain triglyceride diet, total parenteral nutrition and somatostatin as conservative management and peritoneovenous shunting, and surgical exploration for refractory cases. CASE:A 31-year-old female patient developed chylous ascites following para-aortic lymph node dissection for borderline mucinous tumor of the ovary. Conservative management options failed with recurrence of chylous ascites. Chylous ascites resolved after surgical closure of the lymphatic fistula on the cisterna chyli. There was no evidence of ascites at 10 months follow-up. CONCLUSION:If the patient is a good surgical candidate, surgical exploration should be considered earlier in the treatment of refractory chylous ascites.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

Boran N,Cil AP,Tulunay G,Ozgul N,Kose MF

doi

10.1016/j.ygyno.2004.03.022

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

711-4

issue

3

eissn

0090-8258

issn

1095-6859

pii

S0090825804001933

journal_volume

93

pub_type

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