PT  - JOURNAL ARTICLE
AU  - S. Takeuchi
AU  - H. Kinoshita
AU  - K. Terasawa
AU  - S. Minami
TI  - Chylous ascites following operation for para-aortic lymph node dissection in a patient with cervical cancer
AID  - 10.1136/ijgc-00009577-200602001-00078
DP  - 2006 Jan 01
TA  - International Journal of Gynecologic Cancer
PG  - 418--422
VI  - 16
IP  - Suppl 1
4099  - http://ijgc.bmj.com/content/16/Suppl_1/418.short
4100  - http://ijgc.bmj.com/content/16/Suppl_1/418.full
SO  - Int J Gynecol Cancer2006 Jan 01; 16
AB  - 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.