Treatment of chyloperitoneum after extended lymphatic dissection during duodenopancreatectomy.
BACKGROUND
Chyloperitoneum is a rare postoperative complication that might be caused by an interruption of chylous ducts in the mesenteric root or the cysterna chyli. Two cases of chyloperitoneum after duodenopancreatectomy are reported in the literature.


METHODS
We here report the third case that developed a chyloperitoneum 2 wk postoperatively when he resumed his normal diet.


RESULTS
The patient was treated conservatively with paracenteses and chyloperitoneum subsided thereafter.


CONCLUSIONS
Chyloperitoneum after extended duodenopancreatectomy might be treated conservatively.
Kollmar
O
O
Department of Visceral and Transplant Surgery, University of Bern, Inselspital, Switzerland.
Schilling
M K
MK
Büchler
M W
MW
D000230:Adenocarcinoma / Q000601:surgery; D000368:Aged; D001650:Bile Duct Neoplasms / Q000601:surgery; D001653:Bile Ducts, Intrahepatic; D018281:Cholangiocarcinoma / Q000601:surgery; D002915:Chylous Ascites / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects*; D008297:Male; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D019152:Paracentesis; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy*