Skip to main content
SpringerLink
Log in

Treatment of chyloperitoneum after extended lymphatic dissection during duodenopancreatectomy

  • Case Report
  • Published:
International Journal of Pancreatology Aims and scope Submit manuscript

Summary

Background. Chyloperitoneum is a rare postoperative complication that might be caused by an interruption of chylous ducts in the mesenteric root or the cysterna chyli. Two cases of chyloperitoneum after duodenopancreatectomy are reported in the literature.

Methods. We here report the third case that developed a chyloperitoneum 2 wk postoperatively when he resumed his normal diet.

Results. The patient was treated conservatively with paracenteses and chyloperitoneum subsided thereafter.

Conclusions. Chyloperitoneum after extended duodenopancreatectomy might be treated conservatively.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bappal B, Ghani SA, Chaudhary R, Vaishnav A. Successful surgical treatment of congenital chylous ascites. Indian Pediatr 1998; 35: 276,277.

    PubMed  CAS  Google Scholar 

  2. Browse NL, Wilson NM, Russo F, Al-Hassan H, Allen DR. Aetiology and treatment of chylous ascites. Br J Surg 1992; 79: 1145–1150.

    Article  PubMed  CAS  Google Scholar 

  3. DePalma RG. (1991) Disorders of the lymphatic system. In Textbook of surgery: the biological basis of modern surgical practice, Sabiston DC ed. Saunders, Philadelphia pp. 1479–1489.

    Google Scholar 

  4. Pabst ST, McIntyre KE, Schilling JD, Hunter GC, Bernhard VM. Management of chyloperitoneum after abdominal aortic surgery. Am J Surg 1993; 166: 194–198.

    Article  PubMed  Google Scholar 

  5. Muller S, Lees T. Chyloperitoneum—an infrequent complication of abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg 1998; 16: 443, 444.

    Article  PubMed  CAS  Google Scholar 

  6. Panieri E, Kussman BD, Michell WL, Tunnicliffe JA, Immelman EJ. Chylous ascites following abdominal aortic surgery. S Afr J Surg 1995; 33: 26–28.

    PubMed  CAS  Google Scholar 

  7. Halloul Z, Meyer F, Bürger T, Lippert H. Chylous ascites, a rare complication of aortic surgery. Vasa 1995; 24: 377–381.

    PubMed  CAS  Google Scholar 

  8. DeHart MM, Lauerman WC, Conely AH, Roettger RH, West JL, Cain JE. Management of retroperitoneal chylous leakage. Spine 1994; 19: 716–718.

    Article  PubMed  CAS  Google Scholar 

  9. Mladinic-Vulic D, Krzelj V, Balarin L, Saraga M, Budimir D, Vukic Z, Gabric K. Postoperative chylous ascites. Acta Paediatr 1995; 84: 949–951.

    Article  PubMed  CAS  Google Scholar 

  10. Baniel J, Foster RS, Rowland RG, Bihrle R, Donohue JP. Management of chylous ascites after retroperitoneal lymph node dissection for testicular cancer. J Urol 1993; 150: 1422–1424.

    PubMed  CAS  Google Scholar 

  11. Silk Yn, Goumas WM, Douglass HO, Huben RP. Chylous ascites and lymphocyst management by peritoneovenous shunt. Surgery 1991; 110: 561–565.

    PubMed  CAS  Google Scholar 

  12. Haberal M, Karakayali H, Moray G, Bilgin N. Surgical treatment of chylous ascites following partial living-related liver transplantation. Transpl Int 1998; 11: 327,328.

    Article  PubMed  CAS  Google Scholar 

  13. Halachmi S, Noyman A, Moskovitz B, Nativ O. Successful treatment of postretroperitoneal lymph node dissection in massive chylous ascites. Eur Urol 1995; 28: 119–121.

    PubMed  CAS  Google Scholar 

  14. Geisler JP, Foster RS, Sutton GP. Chyloperitoneum following treatment for advanced gynecologic malignancies. Obstet Gynecol 1994; 83: 883–885.

    PubMed  CAS  Google Scholar 

  15. Ablan CJ, Littooy FN, Freeark RJ. Postoperative chylous ascites: diagnosis and treatment. Arch Surg 1990; 125: 270–273.

    PubMed  CAS  Google Scholar 

  16. Gaglio PJ, Leevy CB, Koneru B. Peri-operative chylous ascites. J Med 1996; 27: 369–376.

    PubMed  CAS  Google Scholar 

  17. Walker WM. Chylous ascites following pancreatoduodenectomy. Arch Surg 1967; 95: 640–642.

    PubMed  CAS  Google Scholar 

  18. Cope C. Diagnosis and treatment of postoperative chyle leakage via percutaneous transabdominal catheterization of the cisterna chyli: a preliminary study. J Vasc Interv Radiol 1998; 9: 727–734.

    Article  PubMed  CAS  Google Scholar 

  19. McVay CB. Thoracic cavity and its contents. In Anson BJ, McVay CB eds.: Surgical anatomy, Saunders, Philadelphia, 1984; pp. 460–463.

    Google Scholar 

  20. Petrasek AJ, Ameli FM. Conservative management of chylous ascites complicating aortic surgery: a case report. Can J Surg 1996; 39: 499–501.

    PubMed  CAS  Google Scholar 

  21. Chen FP, Lo TS, Soong YK. Management of chylous ascites following laparoscopic presacral neurectomy. Hum Reprod 1998; 13: 880–883.

    Article  PubMed  CAS  Google Scholar 

  22. Hilfer CL, Holgersen LO. Massive chylous ascites and transected pancreas secondary to child abuse: successful nonsurgical management. Pediatr Radiol 1995; 25: 117–119.

    Article  PubMed  CAS  Google Scholar 

  23. Staats BA, Ellefson RD, Budahn LL, Dines DE, Prakash UB, Offord K. The lipoprotein profile of chylous and nonchylous pleural effusion. Mayo Clin Proc 1980; 55: 700–704.

    PubMed  CAS  Google Scholar 

  24. Milsom JW. Chylothorax: an assessment of current surgical management. J Thorac Cardiovasc Surg 1985; 89: 221–227.

    PubMed  CAS  Google Scholar 

  25. Fleisher HL, Oren JW, Summers DS. Chylous ascites after abdominal aortic aneurysmectomy: successful management with a peritoneovenous shunt. J Vasc Surg 1987; 6: 403–407.

    Article  PubMed  Google Scholar 

  26. Bauwens K, Jacobi CA, Gellert K, Aurisch R, Zieren HU. Diagnosis and therapy of postoperative chyloperitoneum. Chirurg 1996; 67: 658–660.

    PubMed  CAS  Google Scholar 

  27. Pui MH, Yueh TC. Lymphoscintigraphy in chyluria, chyloperitoneum and chylothorax. J Nucl Med 1998; 39: 1292–1296.

    PubMed  CAS  Google Scholar 

  28. Cerfolio RJ, Allen MS, Deschamps C, Trastek VF, Pairolero PC. Postoperative chylothorax. J Thorac Cardiovasc Surg 1996; 112: 1361–1365.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department for Visceral- and Transplant Surgery, University of Bern, Inselspital, 3010, Bern, Switzerland

    Otto Kollmar, Martin K. Schilling & Markus W. Büchler

Authors
  1. Otto Kollmar
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Martin K. Schilling
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Markus W. Büchler
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Martin K. Schilling.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kollmar, O., Schilling, M.K. & Büchler, M.W. Treatment of chyloperitoneum after extended lymphatic dissection during duodenopancreatectomy. International Journal of Pancreatology 27, 83–87 (2000). https://doi.org/10.1385/IJGC:27:1:83

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1385/IJGC:27:1:83

Key Words

Search

Navigation