• S Afr J Surg · Mar 1995

    Case Reports

    Chylous ascites following abdominal aortic surgery.

    • E Panieri, B D Kussman, W L Michell, J A Tunnicliffe, and E J Immelman.
    • Department of Surgery, Groote Schuur Hospital.
    • S Afr J Surg. 1995 Mar 1;33(1):26-8.

    AbstractChylous ascites is an extremely rare complication of abdominal aortic surgery. A case with a successful outcome is presented, followed by a review of the 17 published cases. Chylous ascites can result in nutritional imbalance, immunological deficit and respiratory dysfunction. Paracentesis confirms the diagnosis and provides symptomatic relief. Conservative management, beginning with a low-fat diet and medium-chain triglyceride (MCT) supplementation, is recommended, changing to total parenteral nutrition if unsuccessful. Failure of non-operative treatment may necessitate the need for laparotomy and ligation of leaking lymphatics or peritoneovenous shunting.

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