[Chylous ascites, a rare complication of aortic surgery].
Less than 1% of all complications following vascular surgery of the abdominal aorta involve the lymphatic system. We report on a case of Chylous ascites following the operation of a ruptured infrarenal aortic aneurysm. The primary therapy, administered over a period of five weeks, consistent of diuretics and substitution by human albumin. However, the chylous flow did not decrease. A surgical intervention by a retroperitoneal ligation to try to stop the lymph flow also failed. Finally a total parental nutrition was followed by decrease and arrest of the lymph flow. Conservative treatment of this complication is considered as therapy of choice.
Halloul
Z
Z
Medizinische Fakultät, Zentrum für Chirurgie, Otto-von-Guericke-Universität Magdeburg.
Meyer
F
F
Bürger
T
T
Lippert
H
H
D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D002915:Chylous Ascites / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008220:Lymphography; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D014057:Tomography, X-Ray Computed
Chylaszites, eine seltene Komplikation in der Aortenchirurgie.