La ascitis quilosa es una complicación extremadamente infrecuente de la cirugía aórtica abdominal, que puede ocasionar problemas nutricionales, deficiencias. La ascitis quilosa consiste en el acúmulo de quilo en la cavidad abdominal. Su presentación postquirúrgica ocurre a consecuencia de una lesión inadvertida de . Introducción. La ascitis quilosa es una complicación rara después de diferentes intervenciones abdominales y retroperitoneales. Aunque suele desaparecer.

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ascitis quilosa

Author links open overlay panel Luis A. This composition is specially designed for the treatment of chylothorax, chylous ascites, and other processes with qiilosa lymph circulation.

Chylous ascytes secondary to acute pancreatitis: Rev Chil Cir [online]. Comment A conservative treatment, with diuretics, low lipids and salt diet, and eventually repeated paracentesis should be the first options for chylous ascites after nephrectomy.

Discussion The incidence of chylous ascites in developed countries is approximately one case per 20, admissions, although large epidemiological studies are lacking. When ascites persists after the resolution of the underlying cause, it is recommended a high protein and low lipid diet, the latter in the form of medium chain triglycerides MCT.

Diagnosis is established by cytochemical analysis of fluid and staining with Sudan III, that shows fat globules, leukocytes with lymphocytic predominance and a quiloss triglyceride content.

Quilosx continuing you agree to the use of cookies. Chylous ascites in cirrhosis. Althought conservative treatment may be curative, a reoperation to sell out the open megalymphatics in the operative field may be needed.


Department of Endocrinology and Nutrition. Ascitic fluid analysis in malignancy-related ascites. The following day the patient developed fever of 38 o C, and progressive anemia with dyspnea.

Besides it can also produce pleural lymphatic effusion and consequent chylothorax. Chylous ascites is an extremely rare complication after abdominal aortic surgery that can lead to nutritional, immunological and respiratory consequences.

J Urol ; Cardenas A, Chopra S. We use cookies to help provide and enhance our service and tailor content and ads. Three days after surgery, a chylous fluid appears in the abdominal drainage, which disappears spontaneously. By causing inflammation of the abdominal structures, with compression of the lymphatic vessels, lymph effuses into the abdominal cavity.

Acta Paediatr Taiwan ; Acute chylous peritonitis asccitis associated intestinal tuberculosis. Chylous ascites associated with acute pancreatitis in a patient undergoing continuous ambulatory peritoneal dialysis.

Abstract Introduction Chylous ascites is a rare complication after a number of abdominal and retroperitoneal surgeries. Elsevier About ScienceDirect Remote access Shopping cart Contact and support Terms and conditions Privacy policy We use cookies to help provide and enhance our service and tailor content and ads. Chylous ascites is a rare complication after a number of abdominal and retroperitoneal surgeries.

Acute chylous ascites mimicking acute appendicitis in a patient with pancreatitis. Recommended articles Citing articles 0. Physical examination revealed only an epigastric pain irradiated to both left and right hypochondria without peritoneal irritation.

World J Gastroenterol ; Ascitis quilosa secundaria a pancreatitis: It revealed multiple mesenteric collections, a pancreatic cyst, and fluid in the abdominal cavity, all these findings compatible with an E Balthazar’s degree pancreatitis. In the last years, several laparoscopic techniques had been described to treat chylous ascites in a low invasive way, but the intrinsic difficulties of such a re-operation much be considered.

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Sanjuanbenito 2E. Treatment was directed to removing ascitis by abdominal paracenteses, bowel rest, total parenteral nutrition and, finally, enteral nutrition with medium chain triglycerides.

Acute transient chylous ascites associated with wscitis biliary pancreatitis. By continuing you agree to the use of cookies. Am J Gastroenterol ; Two-thirds of all chylous ascites present in developed countries as a consequence of abdominal malignancy 1,15 and cirrhosis.

N Engl J Med ; The patient died ascktis days after surgery. A carefull dissection of the renal hilium was performed, distal ureter was clipped and several gross peritumoral lymphatic vessels were clipped or coagulated, with no inmediate complications. Unit of Clinical Nutrition and Dietetics.

Ascitis quilosa tras nefrectomía radical y linfadenectomía retroperitoneal – ScienceDirect

Somatostatin is known to inhibit a variety of gastrointestinal processes, hormones and secretions. Culture of the line tip was positive for Candida parapsilosis. J Gastroenterol Hepatol ; 4: He was successfully treated with octreotide and spironolactone.

Chylous ascites is defined as the presence of thoracic or intestinal lymph in the abdominal cavity. Review of medical records of three patients with chylous ascites associated with acute pancreatitis.