scholarly journals Chylous ascites following elective abdominal aortic aneurysm repair

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Sylvie Bowden ◽  
Mohammed Firdouse ◽  
Graham Roche-Nagle
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Rare Complication ◽  
Somatostatin Analogs ◽  
Chylous Ascites ◽  
Abdominal Aortic Aneurysm Repair ◽  
Diagnostic Modality ◽  
Full Diet ◽  
Abdominal Aortic ◽  
Glue Embolization

Abstract Postoperative chylous ascites is a rare complication of abdominal surgery. Chyle depletion results in nutritional, immunologic and metabolic deficiencies, making it a serious and potentially life-threatening condition for which prompt diagnosis and management is imperative. A 72-year-old male was referred for open repair of a 62 cm juxtarenal abdominal aortic aneurysm (AAA). Following resumption of diet, he developed abdominal distention. Therapeutic paracenteses confirmed chylous ascites. Failed conservative management and lymphatic embolization lead to surgical sealance of lymphatic leak using glue. Postoperatively, a full diet was tolerated with no further ascites. Paracentesis is the diagnostic modality of choice in evaluating patients with ascites. Management is challenging and should be multifaceted and tailored to individual patient needs. Cornerstones of therapy include correction of the underlying etiology and conservative measures. When conservative measures fail, other interventions can be considered, such as somatostatin analogs, surgical ligation or glue embolization.

Chylous Ascites as a Rare Complication After Abdominal Aortic Aneurysm Surgery

2011 ◽  
Vol 104 (5) ◽  
pp. 365-367 ◽  
Author(s):  
Naoto Fukunaga ◽  
Yu Shomura ◽  
Michihiro Nasu ◽  
Yukikatsu Okada
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Rare Complication ◽  
Chylous Ascites ◽  
Aneurysm Surgery ◽  
Abdominal Aortic ◽  
Aortic Aneurysm Surgery

scholarly journals The incidence of epidural abscess following epidural analgesia in open abdominal aortic aneurysm repair

2010 ◽  
Vol 92 (1) ◽  
pp. 31-33 ◽  
Author(s):  
David Wallace ◽  
Elizabeth Bright ◽  
N J M London
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Epidural Analgesia ◽  
Epidural Abscess ◽  
Rare Complication ◽  
Abdominal Aortic Aneurysm Repair ◽  
Significant Morbidity ◽  
Retrospective Case ◽  
Superficial Infection ◽  
Abdominal Aortic

INTRODUCTION Complications of epidural catheterisation can cause significant morbidity. Epidural abscess following epidural catheterisation is rare and the reported incidence is variable. The purpose of this study was to review the incidence of epidural abscess in patients undergoing open abdominal aortic aneurysm (AAA) repair. PATIENTS AND METHODS A retrospective case note review of all patients having open AAA repair over a 5-year period. RESULTS A total of 415 patients underwent open AAA repair between January 2003 and March 2008. Of these, 290 were elective procedures and 125 were for ruptured aneurysms. Six patients underwent postoperative magnetic resonance imaging of the spine for clinical suspicion of an epidural abscess. Two of these (0.48%) had confirmed epidural abscess and two superficial infection at the epidural site. CONCLUSIONS The incidence of epidural abscess following epidural analgesia in patients undergoing open AAA repair within our department was 0.48%. Although a rare complication, epidural abscess can cause significant morbidity. Epidural abscesses rarely develop before the third postoperative day.

Scrotal Necrosis following Endovascular Abdominal Aortic Aneurysm Repair

Vascular ◽  
2007 ◽  
Vol 15 (2) ◽  
pp. 113-116 ◽  
Author(s):  
Wayne W. Zhang ◽  
Joe P. Chauvapun ◽  
Hasan H. Dosluoglu
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Rare Complication ◽  
Endovascular Aneurysm Repair ◽  
Abdominal Aortic Aneurysm Repair ◽  
Artery Occlusion ◽  
Abdominal Aortic ◽  
Ischemic Complications ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Scrotal necrosis is an extremely rare complication following endovascular abdominal aortic aneurysm repair. Sloughing of scrotal skin and penile necrosis owing to therapeutic hypogastric artery occlusion for endoluminal aortoiliac aneurysm repair have been documented. We present herein one case of scrotal necrosis following endovascular abdominal aortic aneurysm repair. The presentation of combined scrotal necrosis, buttock ischemia, lower extremity livedo reticularis, and left blue toes with palpable pulses in the posterior tibial and dorsalis pedis arteries suggested that microembolization during endovascular aneurysm repair was the major cause of the devastating ischemic complications in this patient.

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