Chylous ascites following retroperitoneal lymphadenectomy in a patient with recurrent dysgerminoma of ovary: A case report

被引：0

作者：

Nepali, Amit ^{[1
]}

Guragain, Aashish ^{[1
]}

Devkota, Karun ^{[2
]}

Paudyal, Punam ^{[3
]}

Rimal, Surya Prasad ^{[4
]}

Kafle, Awaj ^{[5
]}

Karki, Rikesh Jung ^{[5
]}

Kumari, Shilpi ^{[6
]}

Shrestha, Ramesh ^{[4
]}

机构：

[1] BP Koirala Inst Hlth Sci, Dharan, Nepal

[2] BP Koirala Inst Hlth Sci, Dept Radiol, Dharan, Nepal

[3] BP Koirala Inst Hlth Sci, Dept Pathol, Dharan, Nepal

[4] BP Koirala Inst Hlth Sci, Dept Obstet & Gynaecol, Dharan, Nepal

[5] BP Koirala Inst Hlth Sci, Dept Urosurgery, Dharan, Nepal

[6] BP Koirala Inst Hlth Sci, Dept Nutr, Dharan, Nepal

来源：

GYNECOLOGIC ONCOLOGY REPORTS | 2023年 / 48卷

关键词：

Chylous ascites; Dysgerminoma ovary; Lymphadenectomy; LYMPH-NODE DISSECTION; GERM-CELL TUMORS; MANAGEMENT; SURGERY;

D O I：

10.1016/j.gore.2023.101221

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Chylous ascites is an uncommon condition of accumulation of milky fluid rich in lymph and chylomicrons in the peritoneal cavity. Post-surgical complications following dissection near the base of the mesentery, retro-peritoneum, or near the cisterna chyli, malignancies (e.g., pancreatic adenocarcinomas, lymphoma, gastric carcinoma), cirrhosis, and trauma are the prime causes of chylous ascites. Here we report a rare case of chylous ascites following clearance of isolated paraaortic nodal recurrence in a 28-year-old female with dysgerminoma of ovary. The patient developed chylous ascites on the fifth day following surgery, which was confirmed by an increased drain fluid triglyceride level. She was managed conservatively with dietary modification including a high-protein and carbohydrate but low-fat-based diet mainly containing medium-chain fatty acids. Subsequently, she recovered from chylous ascites on the sixteenth day, completed second line chemotherapy, and is now doing well.

引用

页数：4

共 21 条

[1] Chylous ascites: A collective review [J].