Nepali Amit, Guragain Aashish, Devkota Karun, Paudyal Punam, Prasad Rimal Surya, Kafle Awaj, Jung Karki Rikesh, Kumari Shilpi, Shrestha Ramesh
B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
Department of Radiology, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
Gynecol Oncol Rep. 2023 Jun 10;48:101221. doi: 10.1016/j.gore.2023.101221. eCollection 2023 Aug.
Chylous ascites is an uncommon condition of accumulation of milky fluid rich in lymph and chylomicrons in the peritoneal cavity. Post-surgical complications following dissection near the base of the mesentery, retroperitoneum, or near the cisterna chyli, malignancies (e.g., pancreatic adenocarcinomas, lymphoma, gastric carcinoma), cirrhosis, and trauma are the prime causes of chylous ascites. Here we report a rare case of chylous ascites following clearance of isolated paraaortic nodal recurrence in a 28-year-old female with dysgerminoma of ovary. The patient developed chylous ascites on the fifth day following surgery, which was confirmed by an increased drain fluid triglyceride level. She was managed conservatively with dietary modification including a high-protein and carbohydrate but low-fat-based diet mainly containing medium-chain fatty acids. Subsequently, she recovered from chylous ascites on the sixteenth day, completed second line chemotherapy, and is now doing well.
乳糜性腹水是一种少见的病症，指富含淋巴液和乳糜微粒的乳状液体在腹腔内积聚。在肠系膜根部、腹膜后或乳糜池附近进行解剖后的手术并发症、恶性肿瘤（如胰腺腺癌、淋巴瘤、胃癌）、肝硬化和外伤是乳糜性腹水的主要病因。在此，我们报告一例罕见的乳糜性腹水病例，该病例发生在一名28岁患有卵巢无性细胞瘤的女性患者清除孤立性主动脉旁淋巴结复发灶之后。患者在术后第五天出现乳糜性腹水，引流液甘油三酯水平升高证实了这一情况。她通过饮食调整进行保守治疗，饮食调整包括高蛋白、高碳水化合物但低脂的饮食，主要含中链脂肪酸。随后，她在第十六天从乳糜性腹水中康复，并完成了二线化疗，目前情况良好。
