A Case of Successful Conservative Treatment for Chylous Ascites After Living-Donor Liver Transplantation | Zendy

Hiroaki Shiba | Zendy; Shigeki Wakiyama | Zendy; Takeshi Gocho | Zendy; Yuichi Ishida | Zendy; Takeyuki Misawa | Zendy; Katsuhiko Yanaga | Zendy

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A Case of Successful Conservative Treatment for Chylous Ascites After Living-Donor Liver Transplantation

Author(s) -

Hiroaki Shiba,

Shigeki Wakiyama,

Takeshi Gocho,

Yuichi Ishida,

Takeyuki Misawa,

Katsuhiko Yanaga

Publication year - 2013

Publication title -

international surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.132

H-Index - 39

eISSN - 2520-2456

pISSN - 0020-8868

DOI - 10.9738/cc118.1

Subject(s) - medicine , chylous ascites , ascites , parenteral nutrition , liver transplantation , cirrhosis , complication , surgery , gastroenterology , transplantation

A 46-year-old man underwent living-donor liver transplantation and splenectomy for primary biliary cirrhosis. On postoperative day 22, cloudiness of ascites increased, and triglyceride concentration in ascites was as high as 1046 mg/dL. With a diagnosis of chylous ascites, total parenteral nutrition was started. Nine days after starting total parenteral nutrition, cloudiness of ascites decreased, and triglycerides in ascites decreased to 93 mg/dL. Oral intake was restarted, and the patient was discharged on postoperative day 46. Chylous ascites is a rare complication after living-donor liver transplantation for which total parenteral nutrition may be useful.

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