Chylous ascites following retroperitoneal lymphadenectomy: report of 2 cases with guidelines for diagnosis and treatment.
Two cases of chylous ascites following retroperitoneal lymphadenectomy are presented. The first case, a 3-year-old girl, undersent a right radical nephrectomy and retroperitoneal lymph node dissection for Wilms' tumor. Chylous ascites developed postoperatively and resolved after 3 months of supportive therapy. The second case, a 45-year-old woman, underwent a right radical nephrectomy and retroperitoneal lymph node dissection for renal carcinoma. Chylous ascites occurred postoperatively and resolved after a single paracentesis. Diagnosis, evaluation, and therapeutic modalities are outlined and the literature is reviewed.
D000230:Adenocarcinoma / Q000601:surgery; D002675:Child, Preschool; D002915:Chylous Ascites / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004041:Dietary Fats / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery; D008197:Lymph Node Excision / Q000009:adverse effects*; D008875:Middle Aged; D009392:Nephrectomy; D012187:Retroperitoneal Space; D013396:Suction; D009396:Wilms Tumor / Q000601:surgery
D004041:Dietary Fats