Nawabi Atta, Kahle Adam C, Baral Perel, King Clay D, Nawabi Perwaiz
The University of Kansas, Department of Surgery, 3901 Rainbow Blvd, M/S 2005, Kansas City, KS 66160, USA.
Kansas City University, Kansas City, MO 64106, USA.
J Surg Case Rep. 2021 Mar 13;2021(3):rjab029. doi: 10.1093/jscr/rjab029. eCollection 2021 Mar.
Chylous ascites (CA) is the leakage of triglyceride-rich fluid into the peritoneal cavity. This most commonly occurs due to trauma of the lymphatic system. Recently, lymphangiography with lipiodol have been used with promising results in managing refractory postoperative CA. We present the case of a 35-year-old man who developed massive refractory CA post simultaneous pancreas-kidney (SPK) transplant. After conservative management with diet modifications failed, the patient underwent lymphangiography and lymph angioembolization using lipiodol. In this case report, we describe the use of lymphangiography as both a diagnostic and therapeutic approach to successfully manage large volume CA following SPK.
乳糜性腹水（CA）是富含甘油三酯的液体漏入腹腔。这最常见于淋巴系统受创伤时。最近，碘油淋巴管造影术在治疗难治性术后CA方面取得了令人鼓舞的效果。我们报告一例35岁男性，在同时进行胰腺-肾脏（SPK）移植后发生大量难治性CA。在通过饮食调整进行保守治疗失败后，该患者接受了碘油淋巴管造影及淋巴管栓塞术。在本病例报告中，我们描述了将淋巴管造影术作为一种诊断和治疗方法，成功治疗SPK术后大量CA的情况。
