Chylous ascites following retroperitoneal lymph node dissection successfully treated with peritoneovenous shunt.
A massive lymphatic leak developed following radical retroperitoneal lymph node dissection for recurrent extragonadal seminoma. Chylous ascites persisted for over 3 months, with an average daily external drainage of 1.5 liters, and was successfully treated with a peritoneovenous shunt.
Savlov
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Department of Surgery, Texas Tech University Health Sciences Center, Amarillo.
D002915:Chylous Ascites / Q000209:etiology* / Q000601:surgery; D004407:Dysgerminoma / Q000150:complications / Q000601:surgery; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D010536:Peritoneovenous Shunt; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D012186:Retroperitoneal Neoplasms / Q000150:complications / Q000601:surgery