Venous angiomatous hamartoma of the mesenteric root. Therapy of chylous ascites abd chylothorax--case report
Manger, T.; Meyer, F.; Malfertheiner, P.; Lippert, H.
Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 68(2): 168-173
1997
ISSN/ISBN: 0009-4722 PMID: 9156984 Document Number: 471882
Hamartomas are rare benign tumors appearing very often without any symptoms. In case of diagnostic detection the operative exploration is indicated for a correct histological diagnosis and resection. In this report we describe a very rare case of mesenterial hamartoma. During the late postoperative course a refilling chylothorax and chylous ascites occurred. With total parenteral nutrition, excluding short- and long-chain fatty acids, chylous leakage was successfully treated. The chylous exudation was stopped totally; only intraabdominally did minimal ascites persist. The therapy was continued by a oral Ceres diet nutrition. The conservative therapy involving total parenteral nutrition permitted us to avoid the peritoneovenous Le Veen shunt and the associated complications.