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Updated: Jun 25, 2026

Porcine Model of Infrarenal Abdominal Aortic Aneurysm

Porcine Model of Infrarenal Abdominal Aortic Aneurysm

Published on: November 21, 2019

Chyloperitoneum following abdominal aortic surgery.

Emilie Olthof¹, Jan D Blankensteijn, George J M Akkersdijk

¹Department of Surgery, Spaarne Hospital, Hoofddorp, The Netherlands.

|February 26, 2009

Summary

Chyloperitoneum following abdominal aortic surgery is rare but serious. Conservative management, including paracentesis and nutritional support, is generally effective, with surgery reserved for refractory cases.

Area of Science:

Vascular Surgery
Gastroenterology
Surgical Complications

Background:

Chyloperitoneum is an uncommon yet significant complication after abdominal aortic surgery.
There is a lack of standardized treatment protocols for this condition.

Purpose of the Study:

To review and evaluate the most effective treatment strategies for chyloperitoneum post-abdominal aortic surgery.
To analyze outcomes from existing literature to guide clinical practice.

Main Methods:

A comprehensive literature search of Medline-cited articles was conducted.
Thirty-eight cases of chyloperitoneum following abdominal aortic surgery were identified and analyzed.

Main Results:

Paracentesis confirmed the diagnosis in all cases and served as a treatment in 68%.

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Conservative measures like total parenteral nutrition (55%) and medium-chain triglyceride administration (76%) were frequently employed to reduce lymphatic flow.

Diuretics showed limited therapeutic value.

Conclusions:

Conservative management, including paracentesis and nutritional support, is the preferred approach for chyloperitoneum after abdominal aortic surgery.
Surgical intervention, such as peritoneovenous shunting or lymph vessel repair, is considered when conservative measures fail.