Management of Chylous Ascites After Laparoscopic Nephrectomy for Living Kidney Donor: A Case Report and Literature Review

Tipo de estudo: relato de caso. Relato de caso: Homem, 42 anos, diagnosticado com aids há dois anos, desenvolveu aumento de volume abdominal há seis meses da admissão. Tomografia computadorizada mostrou líquido livre na cavidade peritoneal, além de linfonodos mesentéricos e esplenomegalia. O líquido ascítico tinha aspecto leitoso e alto nível de triglicerídeos. Após amplo diagnóstico diferencial, diagnosticamos linfoma de Hodgkin tipo celularidade mista por biópsia linfonodal via videolaparoscópica, Ann Arbor IIIS. Quimioterapia e continuação da terapia antirretroviral de alta potência resultaram em ganho de peso e redução do volume abdominal. Ascite quilosa é uma entidade rara, que possui vários diagnósticos diferenciais. Discussão: Em nossa revisão, a maioria (15/18, 83%) dos casos de ascite quilosa em paciente com HIV/aids deveu-se a causa infecciosa (especialmente pelo Mycobacterium avium complex e tuberculose), em pacientes gravemente imunocomprometidos (linfócitos T-CD4 médio=84células/mm3). Até onde sabemos, este é o primeiro caso de ascite quilosa secundária a linfoma de Hodgkin em paciente com aids.

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Paragonimiasis mimicking ureter stone in living kidney donor: a case report

Korean Journal of Transplantation ◽

10.4285/atw2021.po-1284 ◽

2021 ◽

Vol 35 (1) ◽

pp. S75-S75

Author(s):

Hea Sang Park ◽

Ji Eun Kim ◽

Hyo Kee Kim ◽

Pyoung Jae Park ◽

Young Joo Kwon

Keyword(s):

Case Report ◽

Kidney Donor ◽

Living Kidney Donor ◽

Ureter Stone

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Periorbital Emphysema after Laparoscopic Nephrectomy: Case Report and Literature Review

Urologia Journal ◽

10.1177/039156030707400409 ◽

2007 ◽

Vol 74 (4) ◽

pp. 247-249

Author(s):

M.A. Cerruto ◽

L. Ruggera ◽

P. Beltrami ◽

D. Tiscione ◽

F. Zattoni

Keyword(s):

Case Report ◽

Literature Review ◽

Laparoscopic Nephrectomy ◽

Benign Condition

A 40-year-old lady presented with marked swelling and inability to open her left eye immediately after laparoscopic nephrectomy for a left pyelonephritic kidney. A diagnosis of periorbital emphysema was made and within 7 days the emphysema spontaneously disappeared. Periorbital emphysema is a rare benign condition that may complicate a laparoscopic nephrectomy.

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Chylous Ascites: An Unusual Complication of Peritoneal Dialysis. A Case Report and Literature Review

Peritoneal Dialysis International ◽

10.1177/089686080802800306 ◽

2008 ◽

Vol 28 (3) ◽

pp. 229-231 ◽

Cited By ~ 13

Author(s):

Chee Kay Cheung ◽

Arif Khwaja

Keyword(s):

Peritoneal Dialysis ◽

Case Report ◽

Literature Review ◽

Rare Complication ◽

Chylous Ascites ◽

Catheter Insertion ◽

Unusual Complication ◽

Peritoneal Dialysis Catheter ◽

Dialysis Catheter

Chylous ascites is a rare complication in patients undergoing peritoneal dialysis. It may occur due to traumatic peritoneal dialysis catheter insertion or other causes. It is important to be aware of this condition as it may be confused with peritonitis, and antibiotics may be inappropriately administered. We report a case of chylous ascites occurring after catheter insertion and discuss management of this condition.

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Conservative management of chylous leak after open radical nephrectomy in an adult patient: a case report and literature review

African Journal of Urology ◽

10.1186/s12301-020-00116-8 ◽

2021 ◽

Vol 27 (1) ◽

Author(s):

Adel Alrabadi ◽

Mohammad Ihmeidan ◽

Saddam Al Demour

Keyword(s):

Case Report ◽

Urinary Tract ◽

Literature Review ◽

Adult Patient ◽

Conservative Management ◽

Radical Nephrectomy ◽

Chylous Ascites ◽

Upper Urinary Tract ◽

First Choice ◽

Open Radical Nephrectomy

Abstract Background Chylous ascites is rare but still a recognized complication of retroperitoneal surgeries caused mostly by inadvertent trauma to lymphatic channels. In this article, we present a case report and literature review of adult patient, with malignant tumor of upper urinary tract, who developed chylous leak after open nephrectomy. Case presentation We present a case of chylous leak for a 67-year-old female patient, presented to urology clinic with complaining of left loin pain and gross hematuria, found to have upper urinary tract tumor, she underwent open radical nephrectomy with lymph nodes dissection, and postoperatively she had chylous leak that is treated conservatively using octreotide and spironolactone without the need for total parenteral nutrition. Conclusion Conservative management should always be the first choice of management of chylous leak and chylous ascites. Careful anatomical identification and securing of the periaortic lymphatics are needed to decrease the risk of postoperative chylous leak and ascites.

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