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Management of Chyle fistula with Contrast Instillation: a Case Report

  • Sumit Agrawal
  • Rajdeep Singh
  • Anurag Mishra
  • Anjali Prakash
  • P. N. Agarwal
Case Report

Abstract

Chyle fistula is a rare condition, associated with loss of fluids, electrolytes, nutrients, lymphocytes, and immune dysfunction. They are managed by dietary modification or by surgical treatment. A case of chyle fistula developing after nephrectomy for non-functioning kidney is reported, along with various management modalities. A novel technique of fistula closure by contrast instillation is described. Patient is well after 2 years of surgery.

Keywords

Chyle Fistula Contrast Octreotide Nephrectomy 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Kim BS, Yoo ES, Kim TH, Kwon TG (2010) Chylous ascites as a complication of laparoscopic nephrectomy. J Urol 184(2):570–574CrossRefGoogle Scholar
  2. 2.
    Karmali RJ, Suami H, Wood CG, Karam JA (2014) Lymphatic drainage in renal cell carcinoma: back to the basics. BJU Int 114:806–817CrossRefGoogle Scholar
  3. 3.
    Nair SK, Petko M, Hayward MP (2007) Aetiology and management of chylothorax in adults. Eur J CardioThoracic Surg 32:362–369CrossRefGoogle Scholar
  4. 4.
    McGrath EE, Blades Z, Anderson PB (2010) Chylothorax: aetiology, diagnosis and therapeutic options. Resp Med 104:1–8CrossRefGoogle Scholar
  5. 5.
    Kobayashi M, Kambara T, Kamai T (2015) A rare complication of chylous leakage after open partial nephrectomy successfully resolved by somatostatin analogue. Urol Case Rep 3(6):195–197CrossRefGoogle Scholar
  6. 6.
    Lee EW, Shin JH, Ko HK, Park J, Kim SH, Sung KB (2014) Lymphangiography to treat postoperative lymphatic leakage: a technical review. Korean J Radiol 15(6):724–732CrossRefGoogle Scholar
  7. 7.
    Vinod KV, Shravan R, Shrivarthan R, Radhakrishna P, Dutta TK (2016) Acute compartment syndrome of hand resulting from radiographic contrast iohexol extravasation. J PharmacolPharmacother 7(1):44–47CrossRefGoogle Scholar
  8. 8.
    Huang Y, Gloviczki P, Duncan AA, Fleming MD, Driscoll DJ, Kalra M, Oderich GS, Bower TC (2017) Management of refractory chylous ascites with peritoneovenous shunts. J VascSurg Venous LymphatDisord 5(4):538–546CrossRefGoogle Scholar

Copyright information

© Association of Surgeons of India 2018

Authors and Affiliations

  1. 1.Department of General SurgeryMaulana Azad Medical CollegeNew DelhiIndia
  2. 2.Department of RadiodiagnosisMaulana Azad Medical CollegeNew DelhiIndia

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