Chylous ascites following radical nephrectomy and retroperitoneal lymphadenectomy

被引：3

作者：

Rodriguez Alonso, Andres ^{[1
]}

Gonzalez Blanco, Alfonso ^{[1
]}

Barbagelata Lopez, Alfonso ^{[1
]}

Bonelli Martin, Carlos ^{[1
]}

Fernandez Lopez, Maria ^{[2
]}

Cuerpo Perez, Miguel A. ^{[1
]}

机构：

[1] Hosp Arquitecto Marcide Profesor Novoa Santos, Serv Urol, La Coruna 15405, Spain

[2] Hosp Arquitecto Marcide Profesor Novoa Santos, Serv Anal Clin, La Coruna 15405, Spain

来源：

ACTAS UROLOGICAS ESPANOLAS | 2009年 / 33卷 / 02期

关键词：

Chilous ascites; Kidney neoplasms; Nephrectomy; Lymphadenectomy; Octreotide; Conservative treatment; LYMPH-NODE DISSECTION; MANAGEMENT;

D O I：

10.1016/S0210-4806(09)74122-1

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Chylous ascites consists of the accumulation of chyle in the abdominal cavity. Postoperative presentation develops as a consecuence of unrecognized injury of cisterna chyli or one of its major lumbar tributaries. It usually present as abdominal distention and pain or drainage of milky fluid from surgical wound or abdominal drain. Diagnosis is established by cytochemical analysis of fluid and staining with Sudan III, that shows fat globules. leukocytes with lymphocytic predominance and a high triglyceride content. We present a case of postoperative chylous ascites following radical nephrectomy and retroperitoneal lymphadenectomy for renal cancer, which successfully respond to conservative measures: total parenteral nutrition and octreotide.

引用

页码：192 / 196

页数：5

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