131 results match your criteria chylous retroperitoneum


Chylous retroperitoneum following 720 degree anteroposterior-combined corrective surgery for adult spinal deformity with split vertebral fracture subluxation: a case report.

Spine Deform 2021 Mar 2. Epub 2021 Mar 2.

Department of Orthopaedic Surgery, Kitasato University School of Medicine, 1-15-1, Kitazato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan.

Study Design: Clinical case report.

Purpose: To report the rare case with post-operative chylous retroperitoneum after corrective surgery for adult spinal deformity.

Methods: We present a case of a 73-year-old woman with Parkinson's disease. Read More

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Chylous ascites in cirrhosis from retroperitoneal lymphoma.

Proc (Bayl Univ Med Cent) 2020 Oct 1;34(1):138-140. Epub 2020 Oct 1.

Department of Radiology, Yale New Haven Health Bridgeport Hospital, Bridgeport, Connecticut.

Chylous ascites occurs due to processes that elevate pressures within or obstruct the lymphatics in the retroperitoneum. In cirrhosis, spontaneous chylous ascites can occur but is uncommon. We describe a case of a 74-year-old man with cirrhosis from nonalcoholic steatohepatitis who presented with worsening abdominal distension and chylous ascites on paracentesis; an infiltrating retroperitoneal lymphoma was subsequently detected on computed tomography imaging. Read More

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October 2020

Chylothorax, a rare complication after anterior lumbar interbody fusion. Case report

Rev Fac Cien Med Univ Nac Cordoba 2020 12 21;77(4):381-384. Epub 2020 Dec 21.

Hospital Italiano de Buenos Aires.

Introduction: Chylous leakage into the retroperitoneum is a rare complication after spinal surgery using an anterior retroperitoneal approach. Chylothorax is the presence of lymphatic fluid in the pleural cavity and it is even less frequent during these surgeries. The aim of this work is to report the first case of isolated left chylothorax after a retroperitoneal Left Oblique Lumbar Interbody Fusion in supine position in an adult female patient. Read More

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December 2020

Glue Embolization of Lymphopseudoaneurysm for Chylous Ascites after Retroperitoneal Surgery.

Korean J Radiol 2021 03 28;22(3):376-383. Epub 2020 Aug 28.

Department of Radiology, Seoul National University College of Medicine, Seoul, Korea.

Objective: To assess the safety and efficacy of lymphopseudoaneurysm (LPA) glue (n-butyl cyanoacrylate [NBCA]) embolization in the management of chylous ascites after retroperitoneal surgery.

Materials And Methods: A retrospective analysis from January 2014 to October 2018 was performed in six patients (4 females and 2 males; mean age, 45.3 ± 14. Read More

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Chylovenous bypass for mesenteric lymphangiomatosis: A case report.

J Surg Oncol 2020 Oct 15;122(5):1004-1005. Epub 2020 Jul 15.

Department of Plastic and Reconstructive Surgery, College of Medicine, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.

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October 2020

Treatment of Chylous Ascites with Peritoneovenous Shunt (Denver Shunt) following Retroperitoneal Lymph Node Dissection in Patients with Urological Malignancies: Update of Efficacy and Predictors of Complications.

J Urol 2020 10 5;204(4):818-823. Epub 2020 May 5.

Interventional Radiology Service, Department of Radiology, New York, New York.

Purpose: We investigated the efficacy and analyzed the complication risk factors of peritoneovenous shunt in treating refractory chylous ascites following retroperitoneal lymph node dissection in patients with urological malignancies.

Materials And Methods: From April 2001 to March 2019 all patients with refractory chylous ascites after retroperitoneal lymph node dissection treated with peritoneovenous shunt were reviewed. Demographic characteristics, technical success, efficacy, patency period and complications were studied. Read More

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October 2020

Combined Chylothorax and Chylous Ascites Complicating Liver Transplantation: A Report of a Case and Review of the Literature.

Case Rep Transplant 2019 21;2019:9089317. Epub 2019 Jul 21.

Department of Transplantation Surgery, Henry Ford Hospital, Detroit, MI, USA.

Chyle leaks may occur as a result of surgical intervention. Chyloperitoneum, or chylous ascites after liver transplantation, is rare and the development of chylothorax after abdominal surgery is even more rare. With increasingly aggressive surgical resections, particularly in the retroperitoneum, the incidence of chyle leaks is expected to increase in the future. Read More

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A 28-Year-Old Woman with Ascites and Multiple Focal Spleen Lesions.

Eur J Case Rep Intern Med 2019 6;6(5):001061. Epub 2019 May 6.

Università del Piemonte Orientale, Novara, Italy.

Serous effusions complicating the course of lymphomas occur commonly in the pleural space but seldom in the peritoneum, where they most often present as chylous ascites with diagnostic cytology. Almost invariably, in these rare cases, the serum to ascites albumin gradient is low. We describe a 28-year-old woman with anasarca, ascites and a serum to ascites albumin gradient of 1. Read More

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Management of postoperative chylous ascites after surgery for ovarian cancer: a single-institution experience.

Updates Surg 2019 Dec 20;71(4):729-734. Epub 2019 Apr 20.

Division of Gynecologic Oncology, Department of Women's and Children's Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Postoperative chylous ascites is a rare complication from operative trauma to the cisterna chyli or lymphatic vessels in the retroperitoneum. In the present study, we aimed to identify the incidence of postoperative chylous ascites in patients treated for ovarian cancer and to describe its management. We retrospectively reviewed all patients submitted to surgery for ovarian cancer at our Institution from October 2016 to November 2018. Read More

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December 2019

Retroperitoneal exploration with Vicryl mesh and fibrin tissue sealant for refractory chylous ascites.

J Pediatr Surg 2019 Mar 2;54(3):604-607. Epub 2018 Oct 2.

Department of Surgery, Division of Pediatric Surgery, University of Michigan, 1540 E Hospital Dr. SPC 4217, Ann Arbor, MI 48109, United States. Electronic address:

Background: Congenital chylous ascites poses a significant challenge in neonatal care, and often results in prolonged, complex hospital stays and increased mortality. Few effective options exist in refractory cases.

Methods: Patients aged 0 to 12 months with refractory chylous ascites underwent retroperitoneal exploration after medical treatment and minimally invasive therapies were unsuccessful. Read More

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Primary aortoduodenal fistula: A case report and review of literature.

Int J Surg Case Rep 2018 26;50:80-83. Epub 2018 Jul 26.

Department of General Surgery, Okinawa Prefectural Chubu Hospital, Japan.

Background: Primary aortoduodenal fistula (PADF) is an abnormal connection between the aorta and the duodenum and is a life-threatening condition. It is a very rare cause of gastrointestinal bleeding, which often leads to delay in its diagnosis. Prompt diagnosis and surgical treatment are crucial to improve the outcome of patients with PADF. Read More

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Laparoscopic Retroperitoneal Lymph Node Dissection as a Safe Procedure for Postchemotherapy Residual Mass in Testicular Cancer.

J Laparoendosc Adv Surg Tech A 2018 Feb 7;28(2):168-173. Epub 2017 Dec 7.

4 Department of Urology, Faculdade de Medicina do ABC, Santo André, SP, Brazil .

Background: To evaluate the feasibility, clinical and perioperative outcomes of laparoscopic retroperitoneal lymph node dissection (L-RPLND) in the management of patients with germ cell tumors (GCT) and residual post-chemotherapy mass.

Methods: We report our experience of 25 patients treated with L-RPLND between 2008 and 2015. All 25 patients were diagnosed with GCT by primary pathological evaluation of the specimens after orchiectomy. Read More

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February 2018

Computed tomography lymphangiography findings in 27 cases of lymphangioleiomyomatosis.

Acta Radiol 2017 Nov 29;58(11):1342-1348. Epub 2017 Jan 29.

1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.

Background Lymphangioleiomyomatosis (LAM) is a rare disease involving the bronchi, lymphatic vessels, and veins. However, there are few reports about lymphatic vessel abnormalities associated with LAM. Purpose To evaluate computed tomography (CT) lymphangiography findings in cases of LAM, especially lymphatic vessel abnormalities. Read More

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November 2017

Multifocal Kaposiform Hemangioendothelioma Causing Massive Fetal Chylous Ascites.

Fetal Pediatr Pathol 2017 Apr 16;36(2):162-167. Epub 2016 Dec 16.

b Department of Obstetrics and Gynecology , College of Medicine, Inje University Busan Paik Hospital , Busan , Republic of Korea.

Kaposiform hemangioendothelioma (KHE) is a locally aggressive vascular tumor that usually occurs in soft tissues of the extremity and rarely in the retroperitoneum. We report a unique case of isolated massive fetal ascites attributed to KHE, involving the retroperitoneum and multiple visceral organs, along with the Kasabach-Merritt phenomenon. We suspect that retroperitoneal KHE might have caused massive fetal ascites because of its high potential to invade the lymphatic vessels aggressively in the retroperitoneal space, which possibly permits intestinal lymph leakage into the peritoneal cavities. Read More

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Single-incision laparoscopic excision of a chylous mesenteric cyst: A case report.

Int J Surg Case Rep 2016 22;29:254-257. Epub 2016 Nov 22.

Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.

Introduction: Chylous mesenteric cysts are rare intra-abdominal lesions located in the mesentery of the gastrointestinal tract and may extend from the base of the mesentery into the retroperitoneum. The treatment is the complete removal of the cyst PRESENTATION OF CASE: A 49-year-old female presented with abdominal pain. Abdominal computed tomography showed a 5. Read More

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November 2016

Advantage of urological experience with both transperitoneal and retroperitoneal laparoscopy in lymph node biopsy for malignant lymphoma diagnosis.

Investig Clin Urol 2016 11 25;57(6):401-407. Epub 2016 Oct 25.

Department of Urology, Tenri Hospital, Tenri, Japan.

Purpose: Laparoscopic urologists are familiar with both transperitoneal and retroperitoneal approaches. That experience is an advantage when devising a strategy for intra-abdominal lymph node biopsy. We report the feasibility and effectiveness of laparoscopic biopsy using a urological laparoscopic technique for the treatment of patients with clinically suspected intra-abdominal lymphoma. Read More

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November 2016

Bilateral Cystic Lymphangioma of Ovary Associated with Chylous Ascites.

J Clin Diagn Res 2015 Aug 1;9(8):ED18-9. Epub 2015 Aug 1.

Postgraduate Student, Department of Pathology, B.L.D.E.U'S Shri B.M. Patil Medical College Hospital and Research Centre , Vijayapur, Karnataka, India .

Intraabdominal cystic lymphangiomas are rare and are located in retroperitoneum, mesentery, omentum and other visceral organs. Lymphangiomas of the ovary are rare and are usually unilateral. Cases with bilateral cystic lymphangiomas of the ovary are reported very rarely in literature. Read More

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Abdominal findings in lymphangioleiomyomatosis: a report of two cases.

Arch Bronconeumol 2015 Aug 20;51(8):421-2. Epub 2015 Feb 20.

Servicio de Radiología, Complejo Hospitalario de Navarra, Pamplona, Navarra, España.

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Chylous mesenteric cysts: a rare surgical challenge.

J Surg Case Rep 2014 Mar 4;2014(3). Epub 2014 Mar 4.

Second Unit of General and Emergency Surgery, Careggi Teaching Hospital, Florence, Italy.

A mesenteric cyst is defined as a cyst that is located in the mesentery of the gastrointestinal tract and may extend from the base of the mesentery into the retroperitoneum. It is often asymptomatic and therefore it is usually found as an incidental finding. Preoperative diagnosis may be possible with computed tomography and magnetic resonance imaging. Read More

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Chylous ascites after retroperitoneal aortocava lymphadenectomy for endometrial cancer: a case report.

Eur J Gynaecol Oncol 2014 ;35(2):178-9

This is a case report of chylous ascites after retroperitoneal aortocava lymphadenectomy for endometrial cancer. There are few reports of chylous ascites in gynecologic surgery. Treatment is primarily conservative. Read More

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Percutaneous embolization of a chylous leak from thoracic duct injury in a child.

Cardiovasc Intervent Radiol 2014 Aug 3;37(4):1111-3. Epub 2014 Jan 3.

Division of Vascular and Interventional Radiology, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA.

Postoperative chylous leak may result from thoracic duct injury during surgical procedures in the chest or neck and can be successfully treated with percutaneous embolization. We report the case of a child with persistent chylothorax and chyloperitoneum following multivisceral transplantation, which was performed due to unresectable inflammatory myofibroblastic tumor of the retroperitoneum. Intranodal lymphangiography was used to demonstrate the site of chylous leak from the lower segment of the thoracic duct and the leak resolved within days following percutaneous embolization of the thoracic duct. Read More

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[Chylous ascites as a serious complication of the neuroendocrine tumor of ileum -  case report].

Klin Onkol 2013 ;26(5):358-61

Background: Chylous ascites is a rare complication of the gastrointestinal neuroendocrine tumor. There are two mechanisms of its origin: mechanical obstruction by the tumor mass and fibrosis of the surrounding tissue due to overproduction of serotonin. Its presence restricts treatment options. Read More

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September 2015

Chylous mesenteric cyst: A diagnostic dilemma.

Asian J Surg 2016 Jul 13;39(3):182-6. Epub 2013 Jun 13.

Department of Surgical Oncology, University of Sheffield, General Surgery, Sheffield Teaching Hospitals NHS Foundation Trust, United Kingdom.

A mesenteric cyst is defined as a cyst that is located in the mesentery of the gastrointestinal tract and may extend from the base of the mesentery into the retroperitoneum. A case report of a patient with mesenteric cyst is presented. In addition, a systematic review was performed of English language literature on chylous mesenteric cysts in adult humans. Read More

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Intestinal torsion causing chylous ascites: a rare occurrence.

Singapore Med J 2013 Apr;54(4):e88-90

Department of General Surgery, Singapore General Hospital, Outram Road, Singapore.

Intestinal torsion and chylous ascites are very rarely associated. We present the case of a 19-year-old man who presented with acute abdomen. Computed tomography of his abdomen showed features suggestive of intestinal torsion. Read More

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Bilateral laparoscopic postchemotherapy retroperitoneal lymph-node dissection in nonseminomatous germ cell tumors--a comparison to template dissection.

J Endourol 2013 Jul 11;27(7):856-61. Epub 2013 Jun 11.

Department of Urology, Eberhard Karls University, Tuebingen, Germany.

Purpose: Retroperitoneal lymph node dissection (RPLND) is performed in patients with advanced nonseminomatous (NSGCT) germ cell tumors and residual retroperitoneal mass post-chemotherapy. The extent of node dissection remains unclear. Ipsilateral template dissection is a compromise between morbidity and oncological efficacy. Read More

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Postchemotherapy laparoscopic retroperitoneal lymph node dissection for low-volume, stage II, nonseminomatous germ cell tumor: first 100 patients.

Eur Urol 2013 Jun 24;63(6):1013-7. Epub 2012 Sep 24.

Department of Urology, Medical University Innsbruck, Innsbruck, Austria.

Background: Retroperitoneal lymph node dissection (RPLND) is indicated after chemotherapy in case of radiologic incomplete remission or teratomatous elements in orchiectomy specimens. Open RPLND is associated with considerable morbidity, but technical difficulty of postchemotherapy laparoscopic RPLND (L-RPLND) can be significant; therefore, literature concerning pc L-RPLND is sparse.

Objective: To evaluate feasibility and long-term oncologic outcome of postchemotherapy L-RPLND for clinical stage II disease at a single institution. Read More

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Chyloretroperitoneum following anterior spinal surgery.

J Neurosurg Spine 2012 Nov 14;17(5):415-21. Epub 2012 Sep 14.

Department of Neurosurgery, Swedish Neuroscience Institute, Seattle, Washington 98122, USA.

Injury to the lymphatic channels is a rare and relatively unknown complication of anterior approaches to the lumbar spine and can cause fluid to build up in the retroperitoneal space, resulting in a lymphocele. If they enlarge sufficiently, these collections of chyle in the abdomen can cause pain and bowel ischemia, and can compress nearby organs. The authors report 4 cases in which anterior approaches to the lumbar spine were complicated by a postoperative retroperitoneal chylous fluid collection. Read More

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November 2012

Surgical management of intractable chyluria: a comparison of retroperitoneoscopy with open surgery.

Urol Int 2012 1;89(2):222-6. Epub 2012 Aug 1.

Department of Urology, Research Institute of Surgery, Daping Hospital, Third Military Medical University, Chongqing, China.

Background: Retroperitoneoscopic renal pedicle lymphatic disconnection has been described in the management of intractable chyluria.

Methods: We retrospectively reviewed the clinical outcomes of 76 patients with intractable chyluria undergoing renal pedicle lymphatic disconnection via a retroperitoneoscopic (n = 59) or conventional open approach (n = 17). Operative time, intraoperative blood loss, volume of postoperative drainage, postoperative draining time, postoperative intestinal recovery, intraoperative and postoperative complications, and postoperative hospital stay were evaluated. Read More

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February 2013

Lymphangiography with sclerotherapy: a novel therapy for refractory chylous ascites.

Can J Urol 2012 Jun;19(3):6250-4

James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA.

Introduction: We report the outcomes of a small series of patients with refractory chylous ascites following urologic surgery treated with lymphangiography +/- sclerotherapy.

Materials And Methods: Retrospective review revealed three patients who underwent lymphangiography for prolonged lymphatic leak following urological surgery. Contrast material is injected slowly into a lymphatic vessel on the dorsum of the foot and serial imaging is used to capture the location and degree of lymphatic leak in order to guide definitive treatment. Read More

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Prospective clinical trial of the feasibility and safety of modified retroperitoneal lymph node dissection at time of nephroureterectomy for upper tract urothelial carcinoma.

BJU Int 2012 Dec 4;110(11 Pt B):E475-80. Epub 2012 May 4.

Department of Genitourinary Oncology, Moffitt Cancer Center, Tampa, FL 33612, USA.

Unlabelled: What's known on the subject? and What does the study add? Very little is known about the safety and potential oncological benefit of performing a retroperitoneal lymph node dissection at time of nephroureterectomy for upper tract tumours. This study is the first clinical trial to prospectively validate the safety and feasibility of a retroperitoneal lymph node dissection at time of nephroureterectomy for upper tract tumours. The onus is now on the scientific community at large to conduct adequately powered multicentre clinical trials to evaluate the potential oncological benefit it may impart to patients with upper tract tumours. Read More

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December 2012