• J Cardiovasc Surg · Jul 1989

    Case Reports

    Chylous ascites following abdominal aortic aneurysmectomy: surgical management with a peritoneovenous shunt.

    • W D Boyd, N V McPhail, and G C Barber.
    • Division of Vascular Surgery, Ottawa Civic Hospital, Ontario, Canada.
    • J Cardiovasc Surg. 1989 Jul 1; 30 (4): 627-9.

    AbstractThe development of chylous ascites after emergency repair of a ruptured abdominal aortic aneurysm (AAA) is an extremely rare complication with potentially grave mechanical, nutritional, and immunologic consequences. A 54-year-old man with recurrent, symptomatic chylous ascites ultimately required insertion of a peritoneovenous shunt after non-operative measures failed to provide relief. This is the fourth reported case of chylous ascites following ruptured AAA and only the second treated by peritoneovenous shunt placement.

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