Document Detail

Chylous complications after abdominal aortic surgery.
MedLine Citation:
PMID:  10204656     Owner:  NLM     Status:  MEDLINE    
Two patients developed chylous complications following abdominal aortic aneurysm repair. One patient had chylous ascitis and was successfully treated by a peritoneo-caval shunt. The other patient developed a lymph cyst, which gradually resorbed after puncture. Chylous complications following aortic surgery are rare. Patients in bad a general condition should be treated by initial paracentesis and total parenteral nutrition, supplemented by medium-chain triglyceride and low-fat diet. If no improvement is observed on this regimen, the next step should be implementation of a peritoneo-venous shunt, whereas direct ligation of the leak should be reserved for those who are not responding to this treatment.
E S Haug; O D Saether; A Odegaard; G Johnsen; H O Myhre
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International angiology : a journal of the International Union of Angiology     Volume:  17     ISSN:  0392-9590     ISO Abbreviation:  Int Angiol     Publication Date:  1998 Dec 
Date Detail:
Created Date:  1999-05-28     Completed Date:  1999-05-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8402693     Medline TA:  Int Angiol     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  244-7     Citation Subset:  IM    
Department of Surgery, University Hospital of Trondheim, Norway.
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MeSH Terms
Aortic Aneurysm, Abdominal / surgery*
Chylous Ascites / etiology,  radiography,  therapy*
Lymphocele / etiology,  radiography,  therapy*
Middle Aged
Peritoneovenous Shunt
Postoperative Complications / etiology,  radiography,  therapy*

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