Open AccessChylous ascites as a complication of nephroureterectomy
Author(s) -
Chi-Hang Hsiao,
Chung Cheng Yu,
Tzuo-Yi Hsieh,
YuLin Kao,
Shao-Chuan Wang,
Wen-Jung Chen,
SungLang Chen
Publication year - 2015
Publication title -
urological science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.155
H-Index - 8
eISSN - 1879-5234
pISSN - 1879-5226
DOI - 10.1016/j.urols.2015.01.008
Subject(s) - chylous ascites , medicine , ascites , parenteral nutrition , cirrhosis , complication , lymphatic system , abdominal trauma , surgery , cuff , chyle , lymph , blunt , gastroenterology , pathology
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