Successful laparoscopic treatment of Chylous Ascites after pelvic lymphadenectomy: A case report and peanut oil application

سال انتشار: 1398
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 287

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شناسه ملی سند علمی:

RMED08_034

تاریخ نمایه سازی: 21 مرداد 1398

چکیده مقاله:

A 23-year-old female patient with refractory chylous ascites was successfully treated with laparoscopic ligation of the ruptured lymphatic vessel. The young patient developed abdominal distention after right-side pelvic lymph node dissection for dysgerminoma of the right ovary. Conservative managements failed to control the symptoms. Laparoscopic surgery was performed after oral administration of peanut oil, revealing the presence of a whitish fluid in the abdominal cavity. The responsible lesion of the chylous ascites was detected in the right obturator fossa and ligated with the HEM-O-LOK System (Kangji Medical Instrument Co., Ltd., Hangzhou City, Zhejiang Province, China). The patient experienced an uneventful recovery and has been completely free of symptoms for 1 year. Laparoscopicsurgery should be considered as a treatment of choice for intractable chylous ascites, and peanut oil could be used before surgery as an effective way to facilitate detection of the leakage during surgery.

نویسندگان

Y Shu Zhong

Department of Obstetrics and Gynecology, The First Affiliated Hospital of Sun Yat Sen University, Guangzhou, China