Article Data

  • Views 2583
  • Dowloads 114

Case Reports

Open Access

Management of a postsurgical chylous ascites following a laparoscopic retroperitoneal para-aortic lymphadenectomy

  • D. Vázquez-Vicente1,*,
  • B. Navarro1
  • J.E. García1
  • B. Fernández1
  • J. Urbano1
  • J. Plaza1

1University Hospital - Fundación Jiménez Díaz, Quirónsalud (Spain)

DOI: 10.12892/ejgo4053.2018 Vol.39,Issue 1,February 2018 pp.151-153

Published: 10 February 2018

*Corresponding Author(s): D. Vázquez-Vicente E-mail: daniel.vazquez.vicente@gmail.com

PDF (555.05 kB) View Full-text

Abstract

The authors present the case of a 41-year-old woman who developed chylous ascites following laparoscopic para-aortic lymphadenectomy for staging of cervical cancer, in which chylous ascites resolved during a diagnostic/therapeutic lymphography with lipiodol.


Keywords

Chylous ascites; Laparoscopic para-aortic lymphadenectomy; Cervical cancer.

Cite and Share

D. Vázquez-vicente, B. Navarro, J.e. García, B. Fernández, J. Urbano, J. Plaza. Management of a postsurgical chylous ascites following a laparoscopic retroperitoneal para-aortic lymphadenectomy. European Journal of Gynaecological Oncology. 2018; 39(1): 151-153. doi: 10.12892/ejgo4053.2018

References

[1] Var T., Güngor E., Tonguc T., Özdener L., Mollamahmutoğlu L.: “The conservative treatmente of postoperative chylous ascites in gynecologic cáncer: four case reports”. Arch. Gynecol. Obstet., 2012, 285, 849.

[2] Kaas R., Rustman RD., Zoetmulder F.A.N.: “Chylous ascites after oncological abdominal surgery: incidence and treatment”. EJSO, 2001, 27, 187.

[3] Nadolski G.J., Itkin M.: “Feasibility of ultrasound-guided intranodal lymphangiogram for thoracic duct embolization”. J. Vasc. Interv. Radiol., 2012, 23, 613.

[4] Hur S., Shin J.H., Lee I.J., Min S.K., Min S.I., Ahn S., et al.: “Early experience in the management of postoperative lymphatic leakage using lipiodol lymphangiography and adjunctive glue embolization”. J. Vasc. Interv. Radiol., 2016, 27, 1177.e1.

[5] Manolistas T.P., Abdessalam S., Fowler J.M.: “Chylous ascites following treatment for gynecologic malignancies”. Gynecol. Oncol., 2002, 86, 370.

[6] Baek Y., Won J.H., Kong T.W., Paek J., Chang S.J., Ryu H.S., Kim J.: “Lymphatic leak occurring after surgical lymph node dissection: a preliminary study assessing the feasibility and outcome of lymphatic embolization”. Cardiovasc. Intervent. Radiol., 2016, 39, 1728.

[7] Link R.E., Amin N., Kavoussi L.R.: “Chylous ascites following retroperitoneal lymphadenectomy for testes cancer”. Nat. Clin. Pract. Urol., 2006, 3, 226.

[8] Nadolski G.J., Itkin M.: “Feasibility of ultrasound-guided intranodal lymphangiogram for thoracic duct embolization”. J. Vasc. Interv. Radiol., 2012, 23, 613.

[9] Leibovith I., Mor Y., Colomb J., Ramon J.: “The diagnosis and management of postoperative chylous ascites”. J. Urol., 2002, 167, 449.

[10] Matsumoto T., Yamagami T., Kato T., Hirota T., Yoshimatsu R., Masunami T., Nishimura T.: “The effectiveness of lymphangiography as a treatment method for various chyle leakages”. Br. J. Radiol., 2009; 82, 286.

[11] Alejandre-Lafont E., Krompiec C., Rau WS., Krombach G.A.: “Effectiveness of therapeutic lymphography on lymphatic leakage”. Acta Radiol., 2011, 52, 305.

[12] Lee E.W., Shin J.H., Ko H.K., Park J., Kim S.H., Sung K.B.: “Lymphangiography to treat postoperative lymphatic leakage: a technical review”. Korean J. Radiol., 2014, 15, 724.

Submission Turnaround Time

Top