SURGICAL TREATMENT OF POSTTRAUMATIC CHYLOUS ASCITES
https://doi.org/10.23934/2223-9022-2017-6-4-363-367
Abstract
We report a clinical case of successful surgical treatment of the victim with penetrating abdominal trauma of lumbar lymphatic cistern, complicated by chylous ascites.
About the Authors
B. Y. SokolovRussian Federation
Moscow
A. N. Smolyar
Russian Federation
Dr. Med. Sci., Leading Researcher of the Department for Acute Diseases of Liver and Pancreas,
Moscow
S. G. Gyulasaryan
Russian Federation
Moscow
References
1. Zhdanov D.A. Surgical anatomy of the thoracic duct and the main lymphatic collectors and nodes of the torso. Gorky: Poligraf Publ., 1945. 308 p. (In Russian).
2. Zhdanov D.A General anatomy and physiology of the lymphatic system. Leningrad: Medgiz Publ., 1952. 336 p. (In Russian).
3. Maurer C.A., Wildi S., Muller M.F., et al. Blunt Abdominal Trauma Causing Chyloretroperitoneum. J Trauma. 1997; 43(4): 696–697. PMID: 9356071.
4. Press O.W., Press N.O., Kaufman S.D. Evaluation and management of chylous ascites. Ann Intern Med. 1982; 96(3): 358–364. PMID: 7059101.
5. Al-Ghamdi M.Y., Bedi A., Reddy S.B., et al. Chylous ascites secondary to pancreatitis: management of an uncommon entity using parenteral nutrition and octreotide. Dig Dis Sci. 2007; 52(9): 2261–2264. DOI: 10.1007/s10620-006-9734-8.
6. Perel’man M.I., Yusupov I.A. Issues surgical pathology of the thoracic duct. Klinicheskaya meditsina. 1976; 54(6): 26–30. (In Russian).
7. Perel’man M.I., Yusupov I.A., Sedova T.N. Surgery of the thoracic duct. Moscow: Meditsina Publ., 1984. 136 p. (In Russian).
8. Olthof E., Blankensteijn J.D., Akkersdijk G.J. Chyloperitoneum following abdominal aortic surgery. Vascular. 2008; 16(5): 258–262. DOI: 10.2310/6670.2008.00035.
9. Roche-Nagle G., Walsh S., Barry M.C. Chylous ascites following abdominal aortic aneurysm repair. Vascular. 2009; 17(2): 100–102. DOI: 10.2310/6670.2008.00059.
10. Sarazin W.G., Sauter K.E. Chylous ascites following resection of a ruptured abdominal aneurysm. Treatment with a peritoneovenous shunt. Arch Surg. 1986; 121(2): 246–247. PMID: 3947224.
11. Rajasekar A., Ravi N.R., Diggory R.T. Chylous ascites: a rare complication of radical gastrectomy. Int J Clin Pract. 2000; 54(3): 201–203. PMID: 10829366.
12. Bartolini I., Bechi P. Chylous ascites after laparoscopic anterior resection of the rectum. Surgery. 2013; 153(6): 875–876. DOI: 10.1016/j.surg.2012.10.014.
13. Knight C.G., Omert L. Chylous ascites after nephrectomy for trauma. Am Surg. 2004; 70(12): 1083–1084. PMID: 15663049.
14. Dissanaike S., Griswold J.A., Halldorsson A., Frezza E.E. Isolated chyle duct injury in blunt trauma. Am Surg. 2006; 72(2): 116–117. PMID: 16536238.
15. Haan J.M., Montgomery S., Novosel T.J., et al. Chyloperitoneum after blunt abdominal injury. Am Surg. 2007; 73(8): 811–813. PMID: 17879691.
16. Skála J., Witte C., Bruna J., et al. Chyle leakage after blunt trauma. Lymphology. 1992; 25(2): 62–68. PMID: 1405749.
17. Coluccio G., Rosato L., Paino O., Fornero G. Chyloperitoneum after traumatic rupture of subdiaphragmatic thoracic duct. A clinical case. Minerva Chir. 1997; 52(11): 1367–1370. PMID: 9489336.
18. Zedgenidze G.A., Tsyb A.F. Clinical lymphography. Moscow: Meditsina Publ., 1977. 288 p. (In Russian).
19. Brincker H., Ingstrup H., Jensen T.S., Skjoldborg H. Lymphographic demonstration of cisterna chyli trauma: intralymphatic injection of patent blue violet during operation. Acta Radiol Diagn. 1969; 8(6): 461–464. PMID: 4189968.
20. Munn L.L., Padera T.P. Imaging the lymphatic system. Microvasc Res. 2014; 96: 55–63. DOI: 10.1016/j.mvr.2014.06.006
21. Patten R.M., Calkins C.M., Moore E.E. Isolated traumatic rupture of the cisterna chyli: CT diagnosis. J Comput Assist Tomogr. 1999; 23(5): 701–702. PMID: 10524850.
22. Simosa H.F., Aquino M., Hirsch E.F. Chylous retroperitoneum: a rare presentation of blunt thoracic duct injury. J Trauma. 2006; 61(5): 1280–1282. DOI: 10.1097/01.ta.0000244166.55451.0a.
23. Watanabe A.T., Jeffrey R.B. Jr. CT diagnosis of traumatic rupture of the cisterna chyli. J Comput Assist Tomogr. 1987; 11(1): 175–176. PMID: 3805412.
24. Link R.E., Amin N., Kavoussi L.R. Chylous ascites following retroperitoneal lymphadenectomy for testes cancer. Nat Clin Pract Urol. 2006; 3(4): 226–232. DOI: 10.1038/ncpuro0457.
25. Sriram K., Meguid R.A., Meguid M.M. Nutritional support in adults with chyle leaks. Nutrition. 2016; 32(2): 281–286. DOI: 10.1016/j.nut.2015.08.002.
26. Yildirim A.E., Altun R., Can S., et al. Idiopathic chylous ascites treated with total parenteral nutrition and octreotide. A case report and review of the literature. Eur J Gastroenterol Hepatol. 2011; 23(10): 961–963. DOI: 10.1097/MEG.0b013e328349aa2d.
27. Merrigan B.A., Winter D.C., O’Sullivan G.C. Chylothorax. Br J Surg. 1997; 84(1): 15–20. PMID: 9043440.
28. Kim J., Won J.H. Percutaneous Treatment of Chylous Ascites. Tech Vasc Interv Radiol. 2016; 19(4): 291–298. DOI: 10.1053/j.tvir.2016.10.006.
29. Lee H.B., Lee J.H., Lee M.S., et al. Laparoscopic management of chylous ascites caused by traumatic injury. Am Surg. 2011; 77(4): 507–509. PMID: 21679570.
Review
For citations:
Sokolov B.Y., Smolyar A.N., Gyulasaryan S.G. SURGICAL TREATMENT OF POSTTRAUMATIC CHYLOUS ASCITES. Russian Sklifosovsky Journal "Emergency Medical Care". 2017;6(4):363-367. (In Russ.) https://doi.org/10.23934/2223-9022-2017-6-4-363-367