Format

Send to

Choose Destination
See comment in PubMed Commons below
Am J Transplant. 2010 Jan;10(1):124-8. doi: 10.1111/j.1600-6143.2009.02883.x. Epub 2009 Dec 2.

Chylous ascites requiring surgical intervention after donor nephrectomy: case series and single center experience.

Author information

1
Division of Transplantation, Department of Surgery, University of Minnesota, Minneapolis, MN, USA. aerts005@umn.edu

Abstract

Chylous ascites as a result of laparoscopic donor nephrectomy (LDN) is a rare complication that carries significant morbidity, including severe protein-calorie malnutrition and an associated immunocompromised state. We report a patient who underwent hand-assisted left LDN and subsequently developed chylous ascites. He failed conservative therapy including low-fat diet with medium-chain triglycerides (LFD/MCT) and oral protein supplementation as well as strict NPO status with intravenous (IV) total parenteral nutrition (TPN) and subcutaneous (SQ) somatostatin analogue administration. Laparoscopic re-exploration and intracorporeal suture ligation and clipping of leaking lymph channels successfully sealed the chyle leak. We review the literature to date including diagnosis, incidence, management options, psychosocial aspects and clinical outcomes of chylous ascites after LDN.

PMID:
19958336
PMCID:
PMC3634560
DOI:
10.1111/j.1600-6143.2009.02883.x
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Wiley Icon for PubMed Central
    Loading ...
    Support Center