scholarly journals Conservative Management of an Intraoperative Chyle Leak: A Case Report and Literature Review

2016 ◽  
Vol 181 (9) ◽  
pp. e1180-e1184 ◽  
Author(s):  
Charles D. Meyer ◽  
Ian K. McLeod ◽  
Daniel J. Gallagher
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Conservative Management ◽  
Chyle Leak

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

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.

Conservative Management of Retained Cardiac Missiles: Case Report and Literature Review

2009 ◽  
Vol 66 (4) ◽  
pp. 228-235 ◽  
Author(s):  
Jonathan B. Lundy ◽  
Eric K. Johnson ◽  
Jason M. Seery ◽  
Tach Pham ◽  
James D. Frizzi ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Conservative Management
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