Nephrectomy

Waldorf, Benjamin; Canes, David

doi:10.1007/978-3-319-62277-4_16

Cited by 1 publication

(3 citation statements)

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“…Chylous ascites has been reported in various surgeries, particularly those involving extensive retroperitoneal dissection, such as abdominal aortic surgery (0%-1%) and retroperitoneal lymph node dissection (2%-7%) [ 6 ]. Although rare, laparoscopic nephrectomy has also been associated with chylous ascites, with an incidence rate of 0.013% [ 1 ]. While higher BMI has been identified as a contributing factor in some studies, the American Society of Anesthesiologists (ASA) physical status score has been found to be the most significant risk factor for this complication.…”

Section: Discussionmentioning

confidence: 99%

“…Chylous ascites is characterized by the leakage of milky chyle, which is rich in triglycerides, into the peritoneal cavity. This condition can occur de novo as a result of trauma or obstruction of the lymphatic system, or it can develop as a secondary event in an existing clear ascitic fluid [ 1 , 2 ]. Chylous ascites is a rare condition with an incidence of 0.013% post-donor nephrectomy.…”

Section: Introductionmentioning

confidence: 99%

“…Chylous ascites is a rare condition with an incidence of 0.013% post-donor nephrectomy. Multiple etiological factors exist, ranging from malignancy and cirrhosis to less common causes such as postoperative complications [ 1 ]. The initial disruption of lymphatic channels transporting chyle occurs due to occlusion or trauma, leading to the accumulation of chyle in the peritoneal cavity.…”

Section: Introductionmentioning

confidence: 99%

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Chylous Ascites Following Laparoscopic Donor Nephrectomy: A Case Report

Buksh¹,

Almalki²,

Jar³

et al. 2023

Cureus

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Chylous ascites is a form of peritoneal fluid accumulation that can arise from trauma or lymphatic obstruction. In this report, we present the first case of chylous ascites following laparoscopic donor nephrectomy in our high-volume kidney transplant center. The patient presented to the emergency department three weeks post-procedure with complaints of abdominal distention and discomfort, accompanied by constipation and nausea. Radiological confirmation of ascites was followed by paracentesis, which yielded 20 mL of milky fluid that was analyzed and confirmed as chylous ascites. A subsequent pigtail drain was inserted, resulting in a total drainage of 4 L of fluid. Chylous ascites is a rare complication of abdominal surgeries, with higher body mass index and the American Society of Anesthesiologists physical status score system being significant risk factors. Conservative management involving diet modification is the initial therapy, with percutaneous drainage or more aggressive surgical interventions considered if conservative measures are not effective, with high success rates reported for these interventions. Here, we report a case of chylous ascites following donor nephrectomy as the first case reported from our region.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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