Department of Gynecology, Medical University Varna, 9000 Varna, Bulgaria.
Department of Gynecologic Oncology, Medical University Pleven, 5800 Pleven, Bulgaria.
Medicina (Kaunas). 2019 Sep 23;55(10):624. doi: 10.3390/medicina55100624.
: Chylous ascites is a rare form of ascites characterized by milk-like peritoneal fluid, rich in triglycerides. Clinical signs and symptoms include abdominal distention, pain, nausea, and vomiting. In gynecology, the most common cause for its occurrence is lymph dissection leading to impairment of major lymphatic vessels. There are only a few reported cases of chylous ascites arising after operations for benign diseases. : We report a case of a 46-year-old female patient, who underwent laparoscopy for a myomatous node with chylous ascites occurring on post-surgery Day 2. The ascites was conservatively managed. The exact cause of the chyloperitonitis could not be determined. : Although extremely rarely, chylous ascites may also occur in operative interventions for benign diseases in gynecological surgery.
乳糜性腹水是一种罕见的腹水形式，其特征是腹膜液呈乳白色，富含甘油三酯。临床症状和体征包括腹胀、疼痛、恶心和呕吐。在妇科，最常见的原因是淋巴解剖导致主要淋巴管受损。只有少数报道的良性疾病手术后发生乳糜性腹水的病例。我们报告了一例 46 岁女性患者，因子宫肌瘤结节行腹腔镜手术，术后第 2 天出现乳糜性腹水。腹水采用保守治疗。乳糜性腹膜炎的确切原因无法确定。尽管极为罕见，但妇科手术良性疾病的手术干预也可能导致乳糜性腹水。
