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Revista de cirugía

versión impresa ISSN 2452-4557versión On-line ISSN 2452-4549

Resumen

VILAR-TABANERA, Alberto; GARCIA-ANGARITA, Francisco; MENDIA-CONDE, Elena  y  GOMEZ-RAMIREZ, Joaquín. Chylous ascites after cholecystectomy. Case report and literatura review. Rev. cir. [online]. 2019, vol.71, n.3, pp.253-256. ISSN 2452-4557.  http://dx.doi.org/10.4067/s2452-45492019000300253.

Introduction:

Chylous ascites is defined as the presence of lymph fluid in the peritoneal cavity. It is a rare complication after abdominal surgery; only 5 previously reported cases were found after cholecystectomy.

Aim:

Present a case report and a literature review.

Materials and Method:

Case report of a 77 year old male who underwent an elective cholecystectomy due to acute cholecystitis. Chyloperitoneum showed up 21 days after surgery.

Results:

We performed a percutaneous drainage and 5 L of fluid were removed in 24 hours. We started treatment with subcutaneous Octreotide and total parenteral nutrition. After 3 days drain output decreased and we started a medium-chain triglycerides diet with good progress. The outcome of 60% of the 5 previous case reports of chyloperitoneum after cholecystitis, were successful with conservative management, surgical intervention was needed in one patient and a transjugular intrahepatic portosystemic shunt (TIPSS) was placed in another patient.

Conclusion:

Chylous ascites is a rare complication after surgery, there are only 5 previously case reports after cholecystectomy. Conservative management has to be the first option and in case of persistence another therapy has to be considered.

Palabras clave : chylous ascites; chyloperitoneum; cholecystectomy.

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