Postoperative chylous ascites: An institutional experience over two years

Chylous ascites

A 43-year-old man presented with a 2-week history of foamy urine, progressive oedema of his lower limbs, ascites and a 28-lb weight gain. He denied any trauma or surgery in the past. On physical examination, profound pitting oedema (4+) in the extremities and tautness of the abdominal wall with flattening of the umbilicus and positive shifting dullness was noted. Sono-guided paracentesis for sy...

Postoperative Chylous Ascites: A Rare Complication of Laparoscopic Nissen Fundoplication

The accumulation of chylous fluid in the abdominal cavity is an infrequent, yet alarming, complication in abdominal surgery. Laparoscopic fundoplication has assumed a central role in the surgical treatment of gastroesophageal reflux disease and is significantly altering the balance of therapy toward more common and earlier surgical intervention. We report the case of a 67-year-old woman with ga...

Congenital chylous ascites

Congenital chylous ascites is a rare entity, conditioned by numerous factors and with changing dynamics of the disease. Because of the lack of therapeutic and diagnostic standards, this disease constitutes to be a medical challenge. This article presents current knowledge on pathogenesis, diagnostics and management of this disease, as well as a case of a newborn with primary congenital chylous ...

Chylous Ascites, with an Illustrative Case

Refractory Chylous Ascites

A 34-year-old woman with primary chylous ascites due to lymphangiectasias was treated with sclerotherapy of dilated lymphatics and a lymphovenous shunt. She was referred to our institution after a thorough diagnostic and therapeutic approach in her community hospital. After four weeks of intensive diagnostic study, no secondary etiology for her chylous disorder was established. Conservative tre...