Chylous ascites following operation for para-aortic lymph node dissection in a patient with cervical cancer.
This is a case report of chylous ascites caused by performing para-aortic lymph node dissection for a patient with cervical cancer. Postoperative chylous ascites is a rare condition that usually develops as a result of operative trauma to the thoracic duct, cisterna chyli, or their major tributaries. It has mainly occurred in thoracic operations, and chylous ascites has rarely been reported in gynecologic surgery. It is associated with serious nutritional and immunologic consequences due to the constant loss of protein and lymphocytes. Treatment that comprises conservative and surgical procedures is selected based on disease severity. We experienced massive chylous ascites after para-aortic surgery and successfully managed it conservatively with dietary intervention and parenteral nutrition.
Takeuchi
S
S
Department of Gynecology, Kochi Health Sciences Center, Kochi, Japan. umekichi@kcb-net.ne.jp
Kinoshita
H
H
Terasawa
K
K
Minami
S
S
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage*; D002166:Camptothecin / Q000008:administration & dosage / Q000031:analogs & derivatives; D018196:Carcinoma, Adenosquamous / Q000601:surgery* / Q000628:therapy; D002915:Chylous Ascites / Q000209:etiology / Q000628:therapy*; D002945:Cisplatin / Q000008:administration & dosage; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D000077146:Irinotecan; D008197:Lymph Node Excision / Q000009:adverse effects*; D008875:Middle Aged; D010289:Parenteral Nutrition, Total / Q000379:methods*; D012187:Retroperitoneal Space; D002583:Uterine Cervical Neoplasms / Q000601:surgery* / Q000628:therapy
D000077146:Irinotecan; D002945:Cisplatin; D002166:Camptothecin