Chylous ascites following radical nephrectomy: a case report

Area of Science:

• Urology
• Surgical Oncology
• Gastroenterology

Background:

• Chylous ascites, characterized by lymphatic fluid accumulation, stems from diverse causes including lymphatic obstruction or surgical trauma.
• It is a rare but significant complication following retroperitoneal and mediastinal surgeries.

Purpose of the Study:

• To report the first case of chylous ascites post-radical nephrectomy for renal cell carcinoma in a patient with crossed fused renal ectopia.
• To review current literature on managing post-operative chylous ascites.

Main Methods:

• Case presentation of a patient who developed chylous ascites after radical nephrectomy.
• Conservative management approach detailed, including lymph production reduction and nutritional support.
• Literature review on post-operative chylous ascites management.

Main Results:

• The patient with chylous ascites following radical nephrectomy was successfully managed conservatively.
• Conservative treatment, focusing on reducing lymph production and optimizing nutrition, is effective in most cases.
• Refractory cases may require surgical intervention, such as lymphatic channel ligation.

Conclusions:

• Post-operative chylous ascites is an uncommon complication of specific surgical procedures.
• Conservative management is the primary approach, often leading to resolution.
• Surgical ligation is reserved for refractory cases unresponsive to conservative measures.