Chylous ascites following abdominal aortic aneurysmectomy: surgical management with a peritoneovenous shunt.
The development of chylous ascites after emergency repair of a ruptured abdominal aortic aneurysm (AAA) is an extremely rare complication with potentially grave mechanical, nutritional, and immunologic consequences. A 54-year-old man with recurrent, symptomatic chylous ascites ultimately required insertion of a peritoneovenous shunt after non-operative measures failed to provide relief. This is the fourth reported case of chylous ascites following ruptured AAA and only the second treated by peritoneovenous shunt placement.
Division of Vascular Surgery, Ottawa Civic Hospital, Ontario, Canada.
W D
WD
Boyd
N V
NV
McPhail
G C
GC
Barber
D001012:Aorta, Abdominal / Q000601:surgery; D001019:Aortic Rupture / Q000601:surgery*; D002915:Chylous Ascites / Q000209:etiology* / Q000601:surgery; D004630:Emergencies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010536:Peritoneovenous Shunt; D011183:Postoperative Complications / Q000601:surgery*