Ares Jessica, Pellejero Paloma, Díaz-Naya Lucia, Villazón Francisco, Martín-Nieto Alicia, Menéndez Torre Edelmiro, Martínez-Faedo Ceferino
Servicio de Endocrinología y Nutrición, Hospital Universitario Central de Asturias..
Servicio de Urología, Hospital Universitario Central de Asturias. España..
Nutr Hosp. 2015 Apr 1;31(4):1874-8. doi: 10.3305/nh.2015.31.4.8311.
We describe the case of a 23 year old man who had undergone laparoscopic surgery in order to remove a residual mass secondary to a testicular embryonal carcinoma. 15 days after he attended the emergency department complaining about abdominal bloating and copious drainage via the two laparoscopic surgery incisions. Biochemical analysis was consistent with chylous ascites. Although this is uncommon, it is well known that there is more likely to develop chylous ascites after oncologic surgery if retroperitoneal lymph nodes dissection is performed1. We decide to start with conservative treatment (dietary modifications) but, as it is not enough, then we decide stop any oral intake and treat him with parenteral nutrition, achieving then total resolution of the ascites.
我们描述了一名23岁男性的病例，该患者曾接受腹腔镜手术以切除睾丸胚胎癌继发的残留肿块。15天后，他前往急诊科就诊，主诉腹胀且通过两个腹腔镜手术切口有大量引流液。生化分析结果与乳糜性腹水相符。虽然这种情况并不常见，但众所周知，如果进行了腹膜后淋巴结清扫术，肿瘤手术后更有可能发生乳糜性腹水。我们决定首先采用保守治疗（饮食调整），但由于效果不佳，随后我们决定停止任何口服摄入，并对他进行肠外营养治疗，腹水最终完全消退。
