A Rare Complication of Chylous Ascites Following Aortobifemoral Bypass Surgery | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2021]

Author(s):

1. Görkem Yi it: Department of Cardiovascular Surgery, Ministry of Health, Ankara City Hospital,Ankara,Turkey

2. Alp Yildirim: Department of Cardiovascular Surgery, Ministry of Health, Ankara City Hospital,Ankara,Turkey

3. Mustafa Ozdemir: Department of Rad1ology, Ministry of Health, Ankara City Hospital,Ankara,Turkey

4. Anil Ozen: Department of Cardiovascular Surgery, Ministry of Health, Ankara City Hospital,Ankara,Turkey

5. Hakki Zafer Iscan: Department of Cardiovascular Surgery, Ministry of Health, Ankara City Hospital,Ankara,Turkey

Abstract:

Injury of the lymphatic trunk during abdominal aortic surgery causes leakage of chyle into the peritoneum, resulting in chylous ascites. A 53-year male, who underwent aortobifemoral bypass surgery for Leriche syndrome in our clinic,presented to the Emergency Department two months postoperatively, with complaints ofabdominal discomfort, reduced appetite and weight loss. Computed tomography imaging and ultrasound of the abdomen revealed a retroperitoneal uid collection. The patient was admitted and treated with percutaneous drainage of the chylous ascites, total parenteral nutrition (TPN) of a low fatty diet containing medium-chain triglycerides (MCT), and intravenous antibiotics. He was discharged after three weeks of treatment. This case report is an example of a rare complication that may occur after abdominal aortic surgery; and enables us to review treatment options for the management of chylous ascites.

Page(s): 849-851

DOI: 10.29271/jcpsp.2021.07.849

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 31, Issue: 07, Year: 2021

Keywords:

Ascites , Chyle , Abdominal aortic surgery

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