Chylous ascites following abdominal aortic aneurysmectomy. Management with total parenteral hyperalimentation.
Chylous ascites may follow operative injury to retroperitoneal lymphatics. When possible, early reoperation has been advised. This report describes a patient with chylous ascites following emergency abdominal aortic aneurysmectomy. Because the patient was not a candidate for reoperation, total parenteral hyperalimentation was employed in management. This approach resulted in a successful outcome.
D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery; D001014:Aortic Aneurysm / Q000601:surgery*; D002913:Chyle / Q000032:analysis; D002915:Chylous Ascites / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008208:Lymphatic System / Q000293:injuries; D008297:Male; D010289:Parenteral Nutrition, Total; D011183:Postoperative Complications / Q000209:etiology*; D012187:Retroperitoneal Space