Chylous Ascites Secondary to Retroperitoneal Para-Aortic Lymphadenectomy: A Case Report.

Autor:	Gil González Y; Obstetrics and Gynecology, Complejo Hospitalario Universitario (C.H.U.) Insular-Materno Infantil, Las Palmas de GC, ESP., Laseca-Modrego M; Gynecologic Oncology, Complejo Hospitalario Universitario (C.H.U.) Insular-Materno Infantil, Las Palmas de GC, ESP., Arencibia-Sánchez O; Gynecologic Oncology, Complejo Hospitalario Universitario (C.H.U.) Insular-Materno Infantil, Las Palmas de GC, ESP., González García-Cano D; Gynecologic Oncology, Complejo Hospitalario Universitario (C.H.U.) Insular-Materno Infantil, Las Palmas de GC, ESP., Martin Martinez AI; Obstetric and Gynecology, Universidad Las Palmas de Gran Canaria, Las Palmas de GC, ESP.; Gynecologic Oncology, Complejo Hospitalario Universitario (C.H.U.) Insular-Materno Infantil, Las Palmas de GC, ESP.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Feb 24; Vol. 14 (2), pp. e22560. Date of Electronic Publication: 2022 Feb 24 (Print Publication: 2022).
DOI:	10.7759/cureus.22560
Abstrakt:	Chylous ascites is caused by an accumulation of lymphatic fluid in the peritoneal cavity secondary to a rupture or obstruction of the abdominal lymphatic ducts. It has a milky appearance and is rich in triglycerides. The most frequent etiologies are neoplasms, liver cirrhosis, and ruptured lymphatic vessels after abdominal surgery. Clinically, it manifests as abdominal distention and increased abdominal girth. The presence of triglycerides in ascites fluid is the most useful diagnostic criterion. Treatment consists of a high-protein diet with fat restriction and medium-chain triglyceride supplements. Surgery is reserved for refractory cases. We present the case of a 66-year-old patient with a diagnosis of chylous ascites secondary to retroperitoneal lymphadenectomy. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Gil González et al.)
Databáze:	MEDLINE
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