title: Combined occurrence of chyloperitoneum and chylothorax after retroperitoneal surgery.
abstract: Chyloperitoneum is a rare complication of abdominal or retroperitoneal surgery, and the combined occurrence of chylothorax and chyloperitoneum has been reported in only a few cases. We describe a case of this complication, which became clinically apparent 20 days after a Warren shunt operation. The large chylous effusion compromised breathing and required chest tube drainage, pleurodesis, medium chain triglyceride (MCT) diet, and, later, total parenteral nutrition (TPN). The patient made a full recovery on TPN for 5 weeks.
authors.affiliation: Dept of Internal Medicine, University of Nebraska Medical Center, Omaha 68198-5300, USA.
authors.forename: G
authors.initials: G
authors.lastname: Müns
authors.forename: S I
authors.initials: SI
authors.lastname: Rennard
authors.forename: A A
authors.initials: AA
authors.lastname: Floreani
mesh_terms: D000328:Adult; D002916:Chylothorax / Q000209:etiology*; D002915:Chylous Ascites / Q000209:etiology*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012187:Retroperitoneal Space / Q000601:surgery*; D013164:Splenorenal Shunt, Surgical / Q000009:adverse effects