Takeuchi S, Kinoshita H, Terasawa K, Minami S
Department of Gynecology, Kochi Health Sciences Center, Kochi, Japan.
Int J Gynecol Cancer. 2006 Jan-Feb;16 Suppl 1:418-22. doi: 10.1111/j.1525-1438.2006.00212.x.
This is a case report of chylous ascites caused by performing para-aortic lymph node dissection for a patient with cervical cancer. Postoperative chylous ascites is a rare condition that usually develops as a result of operative trauma to the thoracic duct, cisterna chyli, or their major tributaries. It has mainly occurred in thoracic operations, and chylous ascites has rarely been reported in gynecologic surgery. It is associated with serious nutritional and immunologic consequences due to the constant loss of protein and lymphocytes. Treatment that comprises conservative and surgical procedures is selected based on disease severity. We experienced massive chylous ascites after para-aortic surgery and successfully managed it conservatively with dietary intervention and parenteral nutrition.
这是一例因对宫颈癌患者进行主动脉旁淋巴结清扫术导致乳糜性腹水的病例报告。术后乳糜性腹水是一种罕见病症，通常因胸导管、乳糜池或其主要分支受到手术创伤而引发。它主要发生于胸部手术中，在妇科手术中很少有乳糜性腹水的报道。由于蛋白质和淋巴细胞持续流失，它会导致严重的营养和免疫后果。根据疾病严重程度选择包括保守和手术程序在内的治疗方法。我们在主动脉旁手术后经历了大量乳糜性腹水，并通过饮食干预和肠外营养成功地进行了保守治疗。
