3,006 results match your criteria chylous


Chylous ascites in the setting of internal hernia: a reassuring sign.

Surg Endosc 2021 May 14. Epub 2021 May 14.

Section of Minimally Invasive and Bariatric Surgery, Department of Surgery, Indiana University School of Medicine, 545 Barnhill Dr. EH 122, Indianapolis, IN, 46202, USA.

Background: Chylous ascites is often reported in cases with lymphatic obstruction or after lymphatic injuries such as intraabdominal malignancies or lymphadenectomies. However, chylous ascites is also frequently encountered in operations for internal hernias. We sought to characterize the frequency and conditions when chylous ascites is encountered in general surgery patients. Read More

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Chylous ascites as a sequelae of primary small bowel volvulus in a virgin abdomen.

Authors:
Matthew Leaning

J Surg Case Rep 2021 May 8;2021(5):rjab176. Epub 2021 May 8.

Department of General Surgery, Caboolture Hospital, Caboolture, Queensland, Australia.

Chylous ascites (CA) results in a thick white ascitic fluid, akin to milk. It is most commonly caused by malignancy and cirrhosis in adults. Here we present only the second reported case of primary small bowel volvulus resulting in CA in the virgin abdomen. Read More

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[A Case Report of Postoperative Chylous Ascites after Laparoscopic Sigmoidectomy].

Gan To Kagaku Ryoho 2021 Apr;48(4):563-565

Dept. of Surgery, Tokyo Metropolitan Otsuka Hospital.

A female in her 70s was diagnosed as sigmoid colon cancer. Laparoscopic sigmoidectomy was performed. Chylous ascites was observed after starting oral intake. Read More

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Peritoneovenous Shunt for Intractable Ascites in Children. A Series of 4 Cases.

J Pediatr Gastroenterol Nutr 2021 Mar 15. Epub 2021 Mar 15.

*INSERM (National Institute of Health and Medical Research) U1016, Université Paris-Descartes, Institut Cochin, Paris, France †Pediatric Surgery Unit, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, France. ‡Pediatric Gastroenterology-Hepatology-Nutrition Unit, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, France. §Pediatric Intensive Care Unit, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, France. ||Department of Pediatric Surgery, Hôpital Universitaire de Tours, Tours, France ¶Université Paris Descartes, 75015 Paris, France.

Intractable ascites is a rare condition in children mainly caused by cirrhosis or lymphatic disorders. Internal drainage may be considered as rescue therapy. In our department, 4 patients aged from 2 months to 15 years old underwent a peritoneovenous shunt (PVS) placement between 2010 and 2020. Read More

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Bilateral Chylothorax and Chylous Ascites: A Rare Presentation of an Uncommon Disorder.

Cureus 2021 Mar 22;13(3):e14044. Epub 2021 Mar 22.

Nephrology, University of California Los Angeles, Los Angeles, USA.

We describe the case of a 62-year-old female who presented with gradually progressing abdominal distension and dyspnea. Computed tomography (CT) chest and abdomen revealed large bilateral pleural effusions with large ascites, a mid-abdominal mass, and peritoneal carcinomatosis. Pleural and peritoneal tap revealed chylous fluid, and the biopsy findings from abdominal mass were consistent with follicular lymphoma. Read More

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New application of direct lymphangiography in the diagnosis and treatment of chylothorax after lung cancer surgery: a case series.

Ann Palliat Med 2021 Apr 16;10(4):4768-4776. Epub 2021 Apr 16.

Department of Lymphatic Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.

Background: Chylothorax is caused by accumulation of chylous fluid in the thoracic cavity following injury to the thoracic duct or its tributaries. It is a rare but relatively severe complication of lung cancer surgery, especially after lung resection and mediastinal lymph node dissection. If chylothorax is not treated promptly and effectively, it may result in relatively high mortality rate. Read More

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Asymptomatic lymphangioleiomyomatosis: Large cyst mimicking a hydropneumothorax in a healthy patient.

Radiol Case Rep 2021 Jun 2;16(6):1325-1328. Epub 2021 Apr 2.

Thoracic Surgery Unit, Policlinico G. Martino, Hospital of the University of Messina, 98125 Messina, Italy.

Lymphangioleiomyomatosis (LAM) is a rare, idiopathic, cystic disease that affects lungs of young women at childbearing age. Usually, LAM clinical manifestations are pneumothorax, progressive dyspnea and chylous pleural effusions. In many cases, due to unusual and nonspecific symptoms, LAM is mis-recognized and patients, who are affected by such disease, receive delayed diagnosis. Read More

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Refractory lymphatic ascites following laparoscopic management of renal lymphangiectasia: An unusual presentation.

J Minim Access Surg 2021 Apr 8. Epub 2021 Apr 8.

Department of Urology, All India Institute of Medical Sciences, New Delhi, India.

Renal lymphangiectasia characterised by either unilocular or multilocular cystic lesion in and around the kidney is an uncommon condition. Presentation of these lesions is quite varied, which along with its uncommon occurrence adds to the challenges in the management of this condition. Most of these cases are managed conservatively and very rarely need any intervention. Read More

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Renal Implications of Left Renal Vein Ligation for Portal Flow Augmentation in Liver Transplantation.

World J Surg 2021 Apr 17. Epub 2021 Apr 17.

The Institute of Liver Disease and Transplantation, Dr. Rela Institute and Medical Centre, Bharath Institute of Higher Education and Research, Chromepet, Chennai, 600044, India.

Background: Spontaneous lienorenal shunts (SLS) siphon blood away from the portal circulation and may compromise portal inflow in liver transplantation (LT). Performing a left renal vein ligation (LRVL) is a relatively easy and efficacious method of overcoming this portal 'steal'. However, given the delicate state of renal function in these patients, its short and long term effects remain undefined. Read More

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The deep inferior epigastric lymphatic cable flap connected to gastroepiploic lymph node flap for treatment of refractory chylous ascites: Report of two cases.

Microsurgery 2021 May 17;41(4):376-383. Epub 2021 Apr 17.

Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.

Chylous ascites is the leakage of lipid-rich lymph into the peritoneal cavity usually due to disruption of lymphatics or increased peritoneal lymphatic pressure. Various surgical options have been proposed to treat chylous ascites but most have shown suboptimal outcomes. The gastroepiploic vascularized lymph node (GE-VLN) flap has been described previously for the treatment of lymphedema. Read More

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Idiopathic chylous peritonitis mimicking acute appendicitis A case report.

Ann Ital Chir 2021 Apr 12;10. Epub 2021 Apr 12.

We report an uncommon case of idiopathic acute chylous peritonitis mimicking an acute appendicitis in a 30-year-old female patient with a 2-day history of abdominal pain, nausea and vomiting. Chylous ascites is a rare form of ascites characterized by the presence of a milky fluid rich in triglycerides. It occurs as a result of a damage to the lymphatic system due to trauma or other benign and malignant pathologies. Read More

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Novel interventional radiological management for lymphatic leakages after gynecologic surgery: lymphangiography and embolization.

Gland Surg 2021 Mar;10(3):1260-1267

Department of Radiology, Seoul National University Hospital, Seoul, Korea.

Post-operative lymphatic leakage is a common complication of a radical gynecologic surgery involving aggressive lymph node dissection. Its manifestation varies from asymptomatic lymphoceles to life-threatening chylous ascites. In the past, nuclear medicine lymphoscintigraphy was the sole imaging modality for the confirmation of the leakage, of which application is limited due to its poor spatial resolution. Read More

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Management of intractable post-adrenalectomy chylous ascites with microsurgical intra-abdominal lymphaticovenous anastomosis: A case report and literature review.

Microsurgery 2021 Apr 6. Epub 2021 Apr 6.

College of Medicine, Chang Gung University, Taoyuan, Taiwan.

Postoperative chylous ascites is a rare but highly morbid complication following thoracic or abdominal surgeries. Treatment options vary according to different clinical scenarios and facility equipment, but there is no standard guideline. We report a case of 46-year-old patient with chylous ascites after left laparoscopic adrenalectomy for metastatic lung cancer. Read More

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Lymphatic dysfunction in advanced cirrhosis: Contextual perspective and clinical implications.

World J Hepatol 2021 Mar;13(3):300-314

Department of Radiodiagnosis, All India Institute of Medical Sciences, Patna 801507, Bihar, India.

The lymphatic system plays a very important role in body fluid homeostasis, adaptive immunity, and the transportation of lipid and waste products. In patients with liver cirrhosis, capillary filtration markedly increases, primarily due to a rise in hydrostatic pressure, leading to enhanced production of lymph. Initially, lymphatic vasculature expansion helps to prevent fluid from accumulating by returning it back to the systemic circulation. Read More

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Lymphaticovenular anastomosis for lymph vessel injury in the pelvis and groin.

Microsurgery 2021 Apr 3. Epub 2021 Apr 3.

Department of Plastic and Reconstructive Surgery, Kyushu University Hospital, Fukuoka, Japan.

Background: Lymphatic diseases due to lymph vessel injuries in the pelvis and groin require immediate clinical attention when conventional treatments fail. We aimed to clarify the effectiveness of and indications for lymphaticovenular anastomosis (LVA) to treat these lymphatic diseases.

Methods: We retrospectively evaluated six patients who underwent LVA for lymphatic diseases due to lymph vessel injuries in the pelvis and groin. Read More

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Strategic Approach to Massive Chylous Leakage after Neck Dissection.

Healthcare (Basel) 2021 Mar 31;9(4). Epub 2021 Mar 31.

Department of Plastic and Reconstructive Surgery, China Medical University Hospital at Taichung, Taichung 404, Taiwan.

(1) Background: A high volume of chylous leakage (>1 L/day) is a potentially lethal complication after neck dissection. However, a strategic treatment for when the leakage progresses from high to massive (>4 L/day) is lacking. (2) Methods: The PubMed database was searched for articles on neck dissection-associated chylous leakage. Read More

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First successful case of percutaneous transabdominal thoracic duct embolization (PTTDE) for chylous ascites resulting from laparoscopic gastric cancer surgery.

Int Cancer Conf J 2021 Apr 23;10(2):149-153. Epub 2021 Jan 23.

Department of Surgery, Tokyo Women's Medical University, Medical Center East, 2-1-10 Nishiogu, Arakawa, Tokyo, 116-8567 Japan.

A 61-year-old woman underwent laparoscopy-assisted distal gastrectomy (LADG) with extragastric lymph node dissection (D2). Two months later, she was readmitted to hospital to be treated for chylous ascites. Oral intake was discontinued and total parenteral nutrition started, but increasing body weight and decreasing serum albumin concentration was not controllable. Read More

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Comparison of oncological outcomes and major complications between laparoscopic radical hysterectomy and abdominal radical hysterectomy for stage IB1 cervical cancer with a tumour size less than 2 cm.

Eur J Surg Oncol 2021 Mar 22. Epub 2021 Mar 22.

Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China; Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China. Electronic address:

Objective: To compare the oncological outcomes and major complications of laparoscopic radical hysterectomy (LRH) and abdominal radical hysterectomy (ARH) for stage IB1 cervical cancer (FIGO 2009) with a tumour size less than 2 cm.

Methods: We retrospectively compared the oncological outcomes and major complications of 1207 stage IB1 cervical cancer patients with a tumour size less than 2 cm who received LRH (n = 546) or ARH (n = 661) in 37 hospitals.

Results: (1) There was no significant difference in 3-year overall survival (OS; 97. Read More

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Long-term Outcomes of Direct Endoscopic Necrosectomy for Complicated or Symptomatic Walled-Off Necrosis: A Korean Multicenter Study.

Gut Liver 2021 Mar 31. Epub 2021 Mar 31.

Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Background/aims: The endoscopic step-up approach is accepted as the preferred treatment for complicated or symptomatic walled-off necrosis (WON). Direct endoscopic necrosectomy (DEN) is an effective therapeutic option, but few reports describe long-term follow-up in this patient population. Thus, we aim to assess the long-term outcomes of DEN following severe necrotizing pancreatitis. Read More

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Idiopathic acute chylous peritonitis during pregnancy, mimicking perforated acute appendicitis: A case report.

Int J Surg Case Rep 2021 Apr 17;81:105790. Epub 2021 Mar 17.

St John of God Hospital, Midland. 1 Clayton Street, Midland, 6056 Western Australia, Australia. Electronic address:

Introduction And Importance: Chylous ascites (CA) is an extremely rare presentation in pregnancy and poses a diagnostic challenge in clinical practice. There have only been a few case reports of CA in pregnancy with the majority of cases found incidentally at the time of caesarean section or in the context of pancreatitis.

Case Presentation: A 36-year-old female who was 13 weeks pregnant had clinically presented right iliac fossa pain with peritonitis and had signs of sepsis. Read More

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Lymphangiography with lipiodol as a diagnostic and therapeutic approach for Chyle Leak ascites following Simultaneous Pancreas-Kidney Transplant.

J Surg Case Rep 2021 Mar 13;2021(3):rjab029. Epub 2021 Mar 13.

Kansas City University, Kansas City, MO 64106, USA.

Chylous ascites (CA) is the leakage of triglyceride-rich fluid into the peritoneal cavity. This most commonly occurs due to trauma of the lymphatic system. Recently, lymphangiography with lipiodol have been used with promising results in managing refractory postoperative CA. Read More

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Resolution of loculated chylous ascites using intra peritoneal fibrinolytic therapy.

Hepatology 2021 Mar 19. Epub 2021 Mar 19.

Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.

Therapeutic paracentesis is the preferred therapy for symptom relief in patients with large-volume ascites. However, when the ascites becomes loculated, removal of sufficient fluid to provide symptomatic relief may not be achieved. Loculation, rare without previous abdominal surgery, is typically associated with malignancy, post-surgical adhesions, bowel perforation, and chylous ascites. Read More

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Refractory Hepatic Lymphorrhea: Percutaneous Transhepatic Lymphangiography and Embolization with n-Butyl-2-Cyanoacrylate Glue.

Cardiovasc Intervent Radiol 2021 Mar 15. Epub 2021 Mar 15.

Department of Diagnostic Radiology, Osaki Citizen Hospital, 3-8-1 Honami, Furukawa, Osaki-shi, Miyagi, 9896183, Japan.

Hepatic lymphorrhea is a leakage from the liver's lymphatic ducts into the abdominal cavity and an extremely rare complication associated with injury of the hepatoduodenal ligament, which can lead to refractory ascites. Hepatic lymphorrhea is constituted by non-chylous ascites and can be visualized by transhepatic lymphangiography instead of pedal or intranodal lymphangiography. To date, only a few successfully treated cases using interventional procedures have been reported. Read More

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[Progress in diagnosis and treatment of chylous leakage following pancreatic resection].

Zhonghua Wai Ke Za Zhi 2021 Apr 1;59(4):316-320. Epub 2021 Apr 1.

Department of General Surgery,Qilu Hospital,Shandong University,Jinan 250012, China.

Compared with other postoperative complications following pancreatic resection, chylous leakage is rare in clinical, which could lead to serious morbidity, including malnutrition,immunosuppression and abdominal infection. The main risk factors for chylous leakage after pancreatic resection are the injury of cisterna chyli or lymphatic vessels caused by intraoperative lymph node dissection and early enteral nutrition. The clinical features of chylous leakage are not specific, and the diagnosis mainly depends on the composition analysis of the drainage fluid. Read More

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Chylothorax post transaxillary first rib resection for thoracic outlet syndrome.

BMJ Case Rep 2021 Mar 8;14(3). Epub 2021 Mar 8.

Department of Vascular Surgery, University of Toronto, Toronto, Ontario, Canada

We present a patient who developed high output chyle leak post left transaxillary first rib resection for venous thoracic outlet syndrome. The high output chylorrhoea was successfully treated by conservative measures, bed rest, parenteral nutrition and low-fat diet. The patient was discharged after an 18-day hospital stay with a complete resolution of his chylous fistula prior to discharge. Read More

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Chylous Ascites as a Presentation of Lymphangioleiomyomatosis.

ACG Case Rep J 2021 Mar 3;8(3):e00517. Epub 2021 Mar 3.

Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA.

A 35-year-old woman presented to the hospital with a 4-week history of large-volume chylous ascites refractory to paracentesis and new-onset dyspnea. Thoracic computed tomography revealed diffuse pulmonary cystic lesions with pleural effusions, and abdominal computed tomography showed ascites with large bilateral retroperitoneal masses displaying positron emission tomography avidity. Biopsy of the masses demonstrated lymphatic invasion by a perivascular epithelioid cell neoplasm, a smooth muscle tumor. Read More

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Catheter closure of a patent vertical vein after repair of an unusual total anomalous variant of pulmonary venous drainage.

Ann Pediatr Cardiol 2021 Jan-Mar;14(1):82-84. Epub 2020 Nov 19.

Cardiovascular Department, Division of Cardiology, ASST Papa Giovanni XXIII, Bergamo, Italy.

Total anomalous pulmonary venous drainage (TAPVD) encompasses a wide spectrum of anatomical variants. The infradiaphragmatic type is almost always obstructive owing to the interposition of intrahepatic resistances; since almost invariable, the vertical vein inserts on the portal venous system. On correction of this variant, the vertical vein might not be ligated to avoid postoperative pulmonary hypertension. Read More

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November 2020