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Chylous ascites following retroperitoneal lymphadenectomy. Report of 2 cases with guidelines for diagnosis and treatment
Author(s) -
Herz J.,
Shapiro S. R.,
Konrad P.,
Palmer J.
Publication year - 1978
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(197807)42:1<349::aid-cncr2820420152>3.0.co;2-i
Subject(s) - medicine , chylous ascites , retroperitoneal lymph node dissection , nephrectomy , paracentesis , lymphadenectomy , chyle , surgery , dissection (medical) , lymph node , ascites , retroperitoneal space , radiology , general surgery , complication , kidney , chemotherapy , testicular cancer
Two cases of chylous ascites following retroperitoneal lymphadenectomy are presented. The first case, a 3‐year‐old girl, underwent a right radical nephrectomy and retroperitoneal lymph node dissection for Wilms' tumor. Chylous ascites developed postoperatively and resolved after 3 months of supportive therapy. The second case, a 45‐year‐old woman, underwent a right radical nephrectomy and retroperitoneal lymph node dissection for renal carcinoma. Chylous ascites occurred postoperatively and resolved after a single paracentesis. Diagnosis, evaluation, and therapeutic modalities are outlined and the literature is reviewed.