Four Cases of Chylous Ascites following Robotic Gynecologic Oncological Surgery
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ID: 101033
2014
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Abstract
Chylous ascites is an uncommon form of ascites characterized by milky-appearing fluid caused by blocked or disrupted lymph flow through chyle-transporting vessels. The most common causes of chylous ascites are therapeutic interventions and trauma. In this report, we present four cases of chylous ascites following robot-assisted surgery for endometrial staging and the treatment strategies that we used. After retroperitoneal lymph node dissection, leaving a drain is very useful in diagnosing chylous ascites and observing its resolution; furthermore, the use of octreotide in conjunction with TPN appears to be an efficient treatment modality for chylous ascites and should be considered before any invasive intervention.
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| Authors | Göçmen, Ahmet;Avcı, Muhittin Eftal;Şanlıkan, Fatih;Uçar, Mustafa Gazi; |
| Journal | case reports in obstetrics and gynecology |
| Year | 2014 |
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