Ascitis quilosa postlaparoscopia abdominal; revisión y descripción de un caso / Chylous asctites post abdominal laparotomy; revision and report of a case
Nutr. hosp
; 31(4): 1874-1878, abr. 2015. tab
Article
in Spanish
| IBECS
| ID: ibc-135099
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Describimos el caso de un varón de 23 años operado mediante laparoscopia de una masa residual secundaria a un carcinoma embrionario testicular. 15 días después acude al servicio de Urgencias por distensión abdominal y drenaje de líquido lechoso por las dos incisiones de la cirugía laparoscópica. Tras el análisis bioquímico del líquido que reflejaba un aumento de triglicéridos se llegó al diagnóstico de ascitis quilosa. Aunque es infrecuente, se describe que existe mayor probabilidad de ascitis quilosa después de cirugías oncológicas si se lleva a cabo la disección de ganglios linfáticos retroperitoneales. Se decide tratamiento conservador inicialmente con modificaciones dietéticas y posteriormente con nutrición parenteral, con resolución total de la ascitis (AU)
ABSTRACT
We describe the case of a 23 year old man who had undergone laparoscopic surgery in order to remove a residual mass secondary to a testicular embryonal carcinoma. 15 days after he attended the emergency department complaining about abdominal bloating and copious drainage via the two laparoscopic surgery incisions. Biochemical analysis was consistent with chylous ascites. Although this is uncommon, it is well known that there is more likely to develop chylous ascites after oncologic surgery if retroperitoneal lymph nodes dissection is performed. We decide to start with conservative treatment (dietary modifications) but, as it is not enough, then we decide stop any oral intake and treat him with parenteral nutrition, achieving then total resolution of the ascites (AU)
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Chylous Ascites
/
Parenteral Nutrition
/
Laparoscopy
Limits:
Humans
/
Male
Language:
Spanish
Journal:
Nutr. hosp
Year:
2015
Document type:
Article
Institution/Affiliation country:
Hospital Universitario Central de Asturias/España