Chylous ascites as a complication of nephroureterectomy

被引:3
作者
Hsiao, Chi-Hang [1 ]
Yu, Chung-Cheng [1 ]
Hsieh, Tzuo-Yi [1 ]
Kao, Yu-Lin [1 ,2 ]
Wang, Shao-Chuan [1 ]
Chen, Wen-Jung [1 ]
Chen, Sung-Lang [1 ,2 ]
机构
[1] Chung Shan Med Univ Hosp, Dept Urol, 110 Chien Kuo North Rd,Sect 1, Taichung 402, Taiwan
[2] Chung Shan Med Univ, Sch Med, Taichung, Taiwan
关键词
chylous; total parenteral nutrition; urothelial carcinoma;
D O I
10.1016/j.urols.2015.01.008
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 may be the result of many pathological conditions, including congenital defects of the lymphatic system, nonspecific bacterial, parasitic and tuberculous peritoneal infection, liver cirrhosis, malignant neoplasm, blunt abdominal trauma, and surgical injury. A 62-year-old woman presented with chylous ascites after undergoing nephroureterectomy and bladder cuff excision for her left ureteral urothelial carcinoma. The diagnosis of chylous ascites is made when the ratio of ascitese versus serum triglyceride is > 2. Patients with chylous ascites may be treated conservatively with total parenteral nutrition and/or a diet containing low fat and medium chain triglycerides. Refractory cases may require more aggressive intervention. We report a case of postoperative chylous ascites that was treated successfully with total parenteral nutrition for 14 days. A review of the relevant literature is presented and chylous ascites treatment is also discussed. Copyright (C) 2015, Taiwan Urological Association. Published by Elsevier Taiwan LLC. All rights reserved.
引用
收藏
页码:139 / 141
页数:3
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