Chylous complications after abdominal aortic surgery.
Two patients developed chylous complications following abdominal aortic aneurysm repair. One patient had chylous ascitis and was successfully treated by a peritoneo-caval shunt. The other patient developed a lymph cyst, which gradually resorbed after puncture. Chylous complications following aortic surgery are rare. Patients in bad a general condition should be treated by initial paracentesis and total parenteral nutrition, supplemented by medium-chain triglyceride and low-fat diet. If no improvement is observed on this regimen, the next step should be implementation of a peritoneo-venous shunt, whereas direct ligation of the leak should be reserved for those who are not responding to this treatment.
Haug
E S
ES
Department of Surgery, University Hospital of Trondheim, Norway.
Saether
O D
OD
Odegaard
A
A
Johnsen
G
G
Myhre
H O
HO
D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D002913:Chyle; D002915:Chylous Ascites / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008210:Lymphocele / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010536:Peritoneovenous Shunt; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D011677:Punctures; D011859:Radiography