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Case Report
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| Massive chylous ascites following an elective repair of an abdominal aortic aneurysm: A case report | ||||||
| Al-Khusheh M.1, Blach O.1, Button M.1 | ||||||
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1Brighton and Sussex University Hospitals.
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| How to cite this article |
| Al-Khusheh M, Blach O, Button M. Massive chylous ascites following an elective repair of an abdominal aortic aneurysm: A case report. Int J Case Rep Imag 2016;7(4):278–281. |
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Abstract
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Introduction:
Symptomatic postoperative chyloperitoneum is a rarely reported complication of elective abdominal aortic aneurysm surgery (AAA). Treatment, conservative versus invasive, could be challenging.
Case Report: We present a case of severe chyloperitoneum following seemingly uncomplicated elective repair of an 8 cm infra-renal AAA, in a 69-year-old male. Patient presented with a progressively increasing abdominal distension and small amount of milky white discharge around the transverse incision wound three weeks postoperatively. We discuss the diagnostic process, different management strategies attempted and outcome in light of the existing literature and our own experience. Conclusion: While an adequate trial of conservative measures should precede any surgical intervention, our case report shows that early consideration of peritoneovenous shunt insertion for refractory chyloperitoneum provides excellent and sustained results. | |
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Keywords:
Aortic aneurysm, Chylous, Chyloperitoneum, Peritoneovenous shunt
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Author Contributions
Moutaz Alkhusheh – Substantial contribution to conception and design, Revising the article critically for important intellectual content, Final approval to the version be published Olga Blach – Substantial contribution to conception and design, Acquisition of data, Drafting the article, Final approval to the version be published Matthew Button – Substantial contribution to conception and design, Revising the article critically for important intellectual content, Final approval to the version be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Moutaz Alkhusheh et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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