[Venous angiomatous hamartoma of the mesenteric root. Therapy of chylous ascites abd chylothorax--case report].
Hamartomas are rare benign tumors appearing very often without any symptoms. In case of diagnostic detection the operative exploration is indicated for a correct histological diagnosis and resection. In this report we describe a very rare case of mesenterial hamartoma. During the late postoperative course a refilling chylothorax and chylous ascites occurred. With total parenteral nutrition, excluding short- and long-chain fatty acids, chylous leakage was successfully treated. The chylous exudation was stopped totally; only intraabdominally did minimal ascites persist. The therapy was continued by a oral Ceres diet nutrition. The conservative therapy involving total parenteral nutrition permitted us to avoid the peritoneovenous Le Veen shunt and the associated complications.
Manger
T
T
Klinik und Poliklinik für Chirurgie, Medizinische Fakultät, Otto-von-Guericke-Universität Magdeburg.
Meyer
F
F
Malfertheiner
P
P
Lippert
H
H
D000328:Adult; D002916:Chylothorax / Q000628:therapy*; D002915:Chylous Ascites / Q000628:therapy*; D006391:Hemangioma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008643:Mesentery / Q000473:pathology / Q000601:surgery*; D010289:Parenteral Nutrition, Total; D010534:Peritoneal Neoplasms / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000628:therapy*
Das venöse angiomatöse Hamartom der Mesenterialwurzel. Therapie von Chylascites und Chylothorax--eine Kasuistik.