title: [Octreotide treatment for postoperative chylous ascites in an adult].
abstract: Chylous ascites is infequent after abdominal surgery. We describe the case of a 43-year-old man with portal cavernomatosis who underwent surgery to insert a splenorenal shunt, which was not placed due to the absence of signs of portal hypertension. On postoperative day 20, the patient developed abdominal distension and mild dyspnea and was diagnosed with chylous ascites, which was related to the surgery. The patient was initially treated with diet and diuretics, with no clinical response, and consequently octreotide therapy was started. Four days later, the ascites was almost resolved and an ultrasound scan at 4 months showed its complete disappearance. This article demonstrates the effectiveness of octreotide in the treatment of postsurgical chylous ascites.
authors.affiliation: Servicio de Gastroenterología, Hospital Universitario Ramón y Cajal, Madrid, España. carsenosiain@gmail.com
authors.forename: Carla
authors.initials: C
authors.lastname: Senosiain Lalastra
authors.forename: Javier
authors.initials: J
authors.lastname: Martínez González
authors.forename: Francisco
authors.initials: F
authors.lastname: Mesonero Gismero
authors.forename: Víctor
authors.initials: V
authors.lastname: Moreira Vicente
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D002915:Chylous Ascites / Q000000981:diagnostic imaging / Q000178:diet therapy / Q000188:drug therapy* / Q000209:etiology; D003097:Collateral Circulation; D003131:Combined Modality Therapy; D004232:Diuretics / Q000627:therapeutic use; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000209:etiology / Q000601:surgery; D008026:Ligation; D008297:Male; D008642:Mesenteric Veins / Q000601:surgery; D015282:Octreotide / Q000627:therapeutic use*; D011169:Portal Vein / Q000002:abnormalities / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000178:diet therapy / Q000188:drug therapy* / Q000209:etiology; D000267:Tissue Adhesions / Q000150:complications; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000209:etiology / Q000601:surgery
chemical_list: D000319:Adrenergic beta-Antagonists; D000925:Anticoagulants; D004232:Diuretics; D015282:Octreotide