Successful treatment of postretroperitoneal lymph node dissection in massive chylous ascites.
A rare complication of retroperitoneal surgery is damage to lymphatic vessels, leak of chyle and the development of chylous ascites. This complication can be life threatening and has a relatively high mortality rate. We describe a 38-year-old patient with a massive chylous ascites after extensive retroperitoneal lymph node dissection of metastatic nonseminomatous germ cell testicular tumor. The patient was treated surgically and with fat-free diet, medium chain triglycerides and diuretics resulting in complete resolution of the ascites.
Department of Urology, Bnai-Zion Medical Center, Haifa, Israel.
S
S
Halachmi
A
A
Noyman
B
B
Moskovitz
O
O
Nativ
D000328:Adult; D002915:Chylous Ascites / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects; D008297:Male; D012187:Retroperitoneal Space