Chylous ascites after laparoscopic donor nephrectomy: Case report

Chylous ascites refers to the accumulation of chyle in the abdominal cavity. Postoperative chylous ascites is most commonly associated with abdominal aortic surgeries. However, it is a rare complication following laparoscopic nephrectomy. It causes loss of fat, protein, and antibodies causing malnut...

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Autores principales: Gaurav Bhandari, Vaibhav Tiwari, Anurag Gupta, Vinant Bhargava, Manish Malik, Ashwani Gupta, Anil Kumar Bhalla, D S Rana
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Publicado: Wolters Kluwer Medknow Publications 2021
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Acceso en línea:https://doaj.org/article/67d47a7af09048f8b20e17268ca7fc94
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spelling oai:doaj.org-article:67d47a7af09048f8b20e17268ca7fc942021-12-02T17:49:11ZChylous ascites after laparoscopic donor nephrectomy: Case report0971-40651998-366210.4103/ijn.IJN_391_20https://doaj.org/article/67d47a7af09048f8b20e17268ca7fc942021-01-01T00:00:00Zhttp://www.indianjnephrol.org/article.asp?issn=0971-4065;year=2021;volume=31;issue=5;spage=482;epage=484;aulast=Bhandarihttps://doaj.org/toc/0971-4065https://doaj.org/toc/1998-3662Chylous ascites refers to the accumulation of chyle in the abdominal cavity. Postoperative chylous ascites is most commonly associated with abdominal aortic surgeries. However, it is a rare complication following laparoscopic nephrectomy. It causes loss of fat, protein, and antibodies causing malnutrition and immunodeficiency. Thus, it is important to treat it as early as possible. We hereby report a case of chylous ascites following laparoscopic donor nephrectomy. A 55-year-old female was admitted at our center 2 weeks after undergoing left laparoscopic donor nephrectomy with abdominal distension and constipation. USG abdomen revealed free fluid in the abdomen. Paracentesis revealed chylous ascites. The patient was started on conservative treatment, including a diet rich in proteins and low in fats; conservative treatment, however, was unsuccessful. Lymphangiography and subsequent embolization of the defect were done, and she made a full recovery.Gaurav BhandariVaibhav TiwariAnurag GuptaVinant BhargavaManish MalikAshwani GuptaAnil Kumar BhallaD S RanaWolters Kluwer Medknow Publicationsarticlechylous ascitesembolizationlaparoscopic donor nephrectomylymphangiographyDiseases of the genitourinary system. UrologyRC870-923ENIndian Journal of Nephrology, Vol 31, Iss 5, Pp 482-484 (2021)
institution DOAJ
collection DOAJ
language EN
topic chylous ascites
embolization
laparoscopic donor nephrectomy
lymphangiography
Diseases of the genitourinary system. Urology
RC870-923
spellingShingle chylous ascites
embolization
laparoscopic donor nephrectomy
lymphangiography
Diseases of the genitourinary system. Urology
RC870-923
Gaurav Bhandari
Vaibhav Tiwari
Anurag Gupta
Vinant Bhargava
Manish Malik
Ashwani Gupta
Anil Kumar Bhalla
D S Rana
Chylous ascites after laparoscopic donor nephrectomy: Case report
description Chylous ascites refers to the accumulation of chyle in the abdominal cavity. Postoperative chylous ascites is most commonly associated with abdominal aortic surgeries. However, it is a rare complication following laparoscopic nephrectomy. It causes loss of fat, protein, and antibodies causing malnutrition and immunodeficiency. Thus, it is important to treat it as early as possible. We hereby report a case of chylous ascites following laparoscopic donor nephrectomy. A 55-year-old female was admitted at our center 2 weeks after undergoing left laparoscopic donor nephrectomy with abdominal distension and constipation. USG abdomen revealed free fluid in the abdomen. Paracentesis revealed chylous ascites. The patient was started on conservative treatment, including a diet rich in proteins and low in fats; conservative treatment, however, was unsuccessful. Lymphangiography and subsequent embolization of the defect were done, and she made a full recovery.
format article
author Gaurav Bhandari
Vaibhav Tiwari
Anurag Gupta
Vinant Bhargava
Manish Malik
Ashwani Gupta
Anil Kumar Bhalla
D S Rana
author_facet Gaurav Bhandari
Vaibhav Tiwari
Anurag Gupta
Vinant Bhargava
Manish Malik
Ashwani Gupta
Anil Kumar Bhalla
D S Rana
author_sort Gaurav Bhandari
title Chylous ascites after laparoscopic donor nephrectomy: Case report
title_short Chylous ascites after laparoscopic donor nephrectomy: Case report
title_full Chylous ascites after laparoscopic donor nephrectomy: Case report
title_fullStr Chylous ascites after laparoscopic donor nephrectomy: Case report
title_full_unstemmed Chylous ascites after laparoscopic donor nephrectomy: Case report
title_sort chylous ascites after laparoscopic donor nephrectomy: case report
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/67d47a7af09048f8b20e17268ca7fc94
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