Chylous ascites following abdominal aortic surgery
Panieri, E.; Kussman, B.D.; Michell, W.L.; Tunnicliffe, J.A.; Immelman, E.J.
South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie 33(1): 26-28
1995
ISSN/ISBN: 0038-2361 PMID: 7631253 Document Number: 451757
Chylous ascites is an extremely rare complication of abdominal aortic surgery. A case with a successful outcome is presented, followed by a review of the 17 published cases. Chylous ascites can result in nutritional imbalance, immunological deficit and respiratory dysfunction. Paracentesis confirms the diagnosis and provides symptomatic relief. Conservative management, beginning with a low-fat diet and medium-chain triglyceride (MCT) supplementation, is recommended, changing to total parenteral nutrition if unsuccessful. Failure of non-operative treatment may necessitate the need for laparotomy and ligation of leaking lymphatics or peritoneovenous shunting.