tailieunhanh - Báo cáo khoa hoc:" Chylous ascites following radical nephrectomy: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Chylous ascites following radical nephrectomy: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Chylous ascites following radical nephrectomy a case report Shahzad S Shah Kamran Ahmed Richard Smith Ravi Mallina Pouya Akhbari and Mohammad S Khan Address Department of Urology Guy s Hospital Guy s St Thomas NHS Foundation Trust GKT School of Medicine London SE1 9RT UK Email Shahzad S Shah - Kamran Ahmed - kahmed198@ Richard Smith - Ravi Mallina - Pouya Akhbari - Mohammad S Khan - Corresponding author Published II January 2008 Received 23 February 2007 Journal of Medical Case Reports 2008 2 3 doi 1752-1947-2-3 Accepted 1 1 January 2008 This article is available from http content 2 I 3 2008 Shah et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Chylous ascites may result from diverse pathologies. Ascites results either due to blockage of the lymphatics or leak secondary to inadvertent trauma during surgery. Case presentation We report the first case of chylous ascites following radical nephrectomy for a renal cell carcinoma involving the right half of a crossed fused renal ectopia. The patient was managed conservatively. Conclusion Post-operative chylous ascites is a rare complication of retroperitoneal and mediastinal surgery. Most cases resolve with conservative treatment which aims at decreasing lymph production and optimizing nutritional requirements along with palliative measures. Refractory cases need either open or laparoscopic ligation of the leaking lymphatic channels.