La ascitis quilosa es una complicación extremadamente infrecuente de la cirugía aórtica abdominal, que puede ocasionar problemas nutricionales, deficiencias. La ascitis quilosa consiste en el acúmulo de quilo en la cavidad abdominal. Su presentación postquirúrgica ocurre a consecuencia de una lesión inadvertida de . Introducción. La ascitis quilosa es una complicación rara después de diferentes intervenciones abdominales y retroperitoneales. Aunque suele desaparecer.

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Khan FY, Matar I.

Acute chylous peritonitis with associated intestinal tuberculosis. Three days after surgery, a chylous fluid appears in the abdominal drainage, which disappears spontaneously.

Physical examination revealed only an epigastric pain irradiated to both left and right hypochondria without peritoneal irritation.

Filariasis, chyluria and chylous effusion. Four days later, an abdominal CT scan was performed.

Review of medical records ascitid three patients with chylous ascites associated with acute pancreatitis. The incidence of chylous ascites in developed countries is approximately one case per 20, admissions, although large epidemiological studies are lacking. Treatment was directed to removing ascitis by abdominal paracenteses, bowel rest, total parenteral nutrition and, finally, enteral nutrition with medium chain triglycerides.

The serum-ascites albumin gradient is superior to the exudate-transudate concept in the differential diagnosis of ascites. Case report A 68y old woman came to the emergency room suffering from upper abdominal pain, nausea, and occasional vomiting which started several hours before.


Acta Paediatr Taiwan ; It usually present as abdominal distention and pain or drainage of milky fluid from surgical wound or abdominal drain. Chylous ascites associated with uqilosa pancreatitis.

ascitis quilosa

Gastroenterol Clin Biol ; Evaluation and management of chylous ascites. After six days in the Intensive Care Unit she improved, and moved again to the Gastroenterology ward with ascittis following diagnoses: A carefull dissection of the renal hilium was performed, distal ureter was clipped and several gross peritumoral lymphatic vessels were clipped or coagulated, with no inmediate ascltis.

The pancreatic tail was not well defined in ultrasound, which suggested an incipient pancreatic collection. Chylous ascites is an uncommon finding which is due to the presence of thoracic or intestinal lymph in the abdominal cavity.

Ascitis quilosa tras nefrectomía radical y linfadenectomía retroperitoneal – ScienceDirect

Chylous ascites secondary to pancreatitis: In the last years, several laparoscopic techniques had been described to treat chylous sscitis in a low invasive way, but the intrinsic difficulties of such a re-operation much be considered.

Abstract Chylous ascites consists of the accumulation of chyle in the abdominal cavity. Three of them occurred in alcohol drinkers, two associated with enolic acute pancreatitis 7,8 and the other one in acute on chronic pancreatitis. Chylous ascites in an adult patient with nephrotic syndrome due to membranous nephropathy.

Chylous ascites secondary to hyperlipidemic pancreatitis with normal serum amylase and lipase. A 71 years male operated for an acute cholecystitis and a perivesicular abscess.


Transjugular intrahepatic portosystemic shunt creation as treatment for refractory chylous ascites and chylothorax in a patient with cirrhosis. Elsevier About ScienceDirect Remote access Shopping cart Contact and support Terms and conditions Privacy policy Quulosa use cookies to help provide and enhance our service and tailor content and ads.

Somatostatin is known to inhibit a variety of gastrointestinal processes, hormones and secretions.

In our case, we found no specific cause for the acute pancreatitis, so it was regarded as idiopathic. Retrospective study of 20 cases.

Chylous effusions secondary to pancreatitis: Ascitis quilosa secundaria a pancreatitis: Two-thirds of all chylous ascites present in developed countries as a consequence of abdominal malignancy 1,15 and cirrhosis.

Somatostatin analogs have been successfully used in different forms of chylous ascites. We present a case of postoperative chylous ascites following radical nephrectomy and retroperitoneal lymphadenectomy for renal cancer, which successfully respond to conservative measures: After the confirmation of chylous ascites, total parenteral nutrition through a Peripheral Inserted Central Catheter PICC and somatostatin analogs were started. We use cookies to help provide and enhance our service quiloa tailor content and ads.