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.
Boyd
W D
WD
Division of Vascular Surgery, Ottawa Civic Hospital, Ontario, Canada.
McPhail
N V
NV
Barber
G C
GC
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*