Chylous Ascites Following Open Abdominal Aortic Aneurysm Repair: An Unusual Complication

Chylous ascites is a rare complication after abdominal aortic aneurysm repair. Accumulation of chyle within the close space of the peritoneal cavity may cause severe discomfort to the patient, complicating the postoperative course. Prompt diagnosis is needed to adopt measures for reducing lymph leak...

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Bibliographic Details
Published in:Methodist DeBakey cardiovascular journal 2016-04, Vol.12 (2), p.119-121
Main Authors: Galanopoulos, Georgios, Konstantopoulos, Theofanis, Theodorou, Stavros, Tsoutsas, Ioannis, Xanthopoulos, Dimitrios, Kaperonis, Elias, Papavassiliou, Vassilios
Format: Article
Language:English
Subjects:
Aortic Aneurysm, Abdominal - surgery
Aortic Rupture - surgery
Cardiovascular Issues in Sports Medicine and Exercise
Chylous Ascites - etiology
Humans
Postoperative Complications
Vascular Surgical Procedures - adverse effects
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Summary:Chylous ascites is a rare complication after abdominal aortic aneurysm repair. Accumulation of chyle within the close space of the peritoneal cavity may cause severe discomfort to the patient, complicating the postoperative course. Prompt diagnosis is needed to adopt measures for reducing lymph leakage and contributing to lymphatic fistula closure. Fortunately, conservative treatment is successful in the majority of cases. In the rare cases that do not respond to conservative treatment, surgery becomes mandatory. Accurate preoperative localization of lymph leakage is a prerequisite for a successful outcome. Postoperative chyloperitoneum has a benign course and an excellent prognosis.
ISSN:1947-6094
1947-6108
DOI:10.14797/mdcj-12-2-119