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Related Experiment Videos

Chylous ascites following aneurysm surgery.

R Sanger1, C C Wilmshurst, C A Clyne

  • 1Vascular Department, Torbay Hospital, Devon, U.K.

European Journal of Vascular Surgery
|December 1, 1991
PubMed
Summary
This summary is machine-generated.

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Chylous ascites after abdominal aortic aneurysm repair is rare. Conservative management failed, requiring a peritoneo-venous shunt, but the patient ultimately succumbed to sepsis.

Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Surgical Complications

Background:

  • Abdominal aortic aneurysm (AAA) repair is a major surgical procedure.
  • Chylous ascites is a rare but serious complication following abdominal surgery.
  • Post-operative management of AAA repair requires careful monitoring for complications.

Observation:

  • A case of chylous ascites developed after elective abdominal aortic aneurysm repair.
  • Initial conservative management included hyperalimentation and drainage of retroperitoneal fluid.
  • Conservative measures proved insufficient to manage the chylous ascites.

Findings:

  • A peritoneo-venous shunt was surgically inserted to manage the refractory chylous ascites.
  • The shunt initially appeared effective in managing the fluid accumulation.

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  • Despite shunt insertion, the patient developed and died from septicaemia.

    • Implications:

    • This case highlights the challenges in managing chylous ascites post-AAA repair.
    • Peritoneo-venous shunting may be a necessary intervention for refractory cases.
    • Septicaemia remains a critical risk, emphasizing the need for vigilant post-operative care and infection control.