Article Text

Download PDFPDF
Chylous ascites following operation for para-aortic lymph node dissection in a patient with cervical cancer
  1. S. Takeuchi,
  2. H. Kinoshita,
  3. K. Terasawa and
  4. S. Minami
  1. Department of Gynecology, Kochi Health Sciences Center, Kochi, Japan
  1. Address correspondence and reprint requests to: Satoru Takeuchi, Kochi Health Sciences Center Hospital, Ike 2125-1, Kochi 781-8555, Japan. Email: umekichi{at}kcb-net.ne.jp

Abstract

This is a case report of chylous ascites caused by performing para-aortic lymph node dissection for a patient with cervical cancer. Postoperative chylous ascites is a rare condition that usually develops as a result of operative trauma to the thoracic duct, cisterna chyli, or their major tributaries. It has mainly occurred in thoracic operations, and chylous ascites has rarely been reported in gynecologic surgery. It is associated with serious nutritional and immunologic consequences due to the constant loss of protein and lymphocytes. Treatment that comprises conservative and surgical procedures is selected based on disease severity. We experienced massive chylous ascites after para-aortic surgery and successfully managed it conservatively with dietary intervention and parenteral nutrition.

  • chylous ascites
  • gynecologic surgery
  • para-aortic lymph node dissection

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.