title: Radiotherapeutic management of the chyloperitoneum following abdominal aortic aneurysm repair.
abstract: Chyloperitoneum is a rare but life-threatening complication with no uniformity concerning the treatment. We present a 77-year-old male with chylous ascites after open abdominal aneurysmectomy refractory to conservative and surgical strategies. After failure of re-exploration with periaortic lymphatic cauterization and drainage, he was treated with five cycles of retroperitoneal radiotherapy. At 12 months of follow-up, the patient remains asymptomatic without any objective evidence of chyloperitoneum relapse. Periaortic radiotherapy may be a feasible alternative in the management of the chylous ascites following abdominal aortic aneurysm surgery.
authors.affiliation: Cardiovascular Surgery Service, Virgen de la Arrixaca University Hospital, Murcia, Spain. Electronic address: joaquinperezandreu@gmail.com.
authors.forename: Joaquín
authors.initials: J
authors.lastname: Pérez
authors.affiliation: Cardiovascular Surgery Service, Virgen de la Arrixaca University Hospital, Murcia, Spain.
authors.forename: José María
authors.initials: JM
authors.lastname: Arribas
authors.affiliation: Oncology Radiotherapy Service, Virgen de la Arrixaca University Hospital, Murcia, Spain.
authors.forename: Enrique
authors.initials: E
authors.lastname: Cárdenas
authors.affiliation: Cardiovascular Surgery Service, Virgen de la Arrixaca University Hospital, Murcia, Spain.
authors.forename: Francisco
authors.initials: F
authors.lastname: Gutiérrez
authors.affiliation: Cardiovascular Surgery Service, Virgen de la Arrixaca University Hospital, Murcia, Spain.
authors.forename: Rubén
authors.initials: R
authors.lastname: Taboada
authors.affiliation: Cardiovascular Surgery Service, Virgen de la Arrixaca University Hospital, Murcia, Spain.
authors.forename: Norberto
authors.initials: N
authors.lastname: Cassinello