PMID- 27741191
DCOM- 20170620
LR  - 20180213
IS  - 1873-233X (Electronic)
IS  - 0029-7844 (Linking)
VI  - 128
IP  - 5
DP  - 2016 Nov
TI  - Chylous Ascites Complicating Modified Radical Hysterectomy for Placenta Percreta.
PG  - 973-975
AB  - BACKGROUND: Chylous ascites is defined as the pathologic accumulation of
      lymphatic fluid within the peritoneal cavity and has been reported to complicate 
      gynecologic surgeries, with an incidence of 0.17-2%. We report a case of chylous 
      ascites after complex surgery for placenta percreta. CASE: A 26-year-old woman
      underwent cesarean delivery followed by bilateral uterine artery embolization and
      modified radical hysterectomy at 26 5/7 weeks of gestation for placenta percreta 
      invading the urinary bladder. No surgical dissection was performed above the
      pelvic brim or deep into the pelvic sidewalls. On postoperative day 4, milky
      fluid consistent with chylous ascites was noted coming from a percutaneous drain.
      This completely resolved after 12 days of conservative management with
      intravenous nutritional support. CONCLUSION: Chylous ascites is a potential
      complication of modified radical hysterectomy for placenta percreta that responds
      to conservative management.
FAU - Miller, Heather
AU  - Miller H
AD  - Department of Obstetrics & Gynecology, Dan L. Duncan Cancer Center, and Scott
      Department of Urology, Baylor College of Medicine, Houston, Texas.
FAU - Anderson, Matthew L
AU  - Anderson ML
FAU - Smith, Christopher P
AU  - Smith CP
FAU - Shamshirsaz, Alireza A
AU  - Shamshirsaz AA
FAU - Fox, Karin A
AU  - Fox KA
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Obstet Gynecol
JT  - Obstetrics and gynecology
JID - 0401101
SB  - IM
MH  - Adult
MH  - Chylous Ascites/*etiology/therapy
MH  - Female
MH  - Humans
MH  - Hysterectomy/*methods
MH  - Placenta Accreta/*surgery
MH  - Pregnancy
EDAT- 2016/10/26 06:00
MHDA- 2017/06/21 06:00
CRDT- 2016/10/15 06:00
PHST- 2016/10/26 06:00 [pubmed]
PHST- 2017/06/21 06:00 [medline]
PHST- 2016/10/15 06:00 [entrez]
AID - 10.1097/AOG.0000000000001562 [doi]
PST - ppublish
SO  - Obstet Gynecol. 2016 Nov;128(5):973-975. doi: 10.1097/AOG.0000000000001562.