Chylous ascites following para-aortic lymphadenectomy: a case report.
BACKGROUND
Chylous ascites is an uncommon complication following para-aortic lymph node dissection in the management of gynecologic malignancies. Treatment options are serial paracentesis, medium-chain triglyceride diet, total parenteral nutrition and somatostatin as conservative management and peritoneovenous shunting, and surgical exploration for refractory cases.


METHODS
A 31-year-old female patient developed chylous ascites following para-aortic lymph node dissection for borderline mucinous tumor of the ovary. Conservative management options failed with recurrence of chylous ascites. Chylous ascites resolved after surgical closure of the lymphatic fistula on the cisterna chyli. There was no evidence of ascites at 10 months follow-up.


CONCLUSIONS
If the patient is a good surgical candidate, surgical exploration should be considered earlier in the treatment of refractory chylous ascites.
Boran
Nurettin
N
Department of Gynecologic Oncology, SSK Ankara Maternity and Women's Health Teaching Hospital, Etlik, Ankara, Turkey.
Cil
Aylin Pelin
AP
Tulunay
Gokhan
G
Ozgul
Nejat
N
Kose
M Faruk
MF
D000328:Adult; D001011:Aorta; D002915:Chylous Ascites / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects*; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery*