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Chylous ascites after laparoscopic hand-assisted donor nephrectomy: Is it specific for the left-side?

S Ter Meulen1, K A van Donselaar-van der Pant, F J Bemelman

  • 1Department of Internal Medicine, Academic Medical Center, Amsterdam, The Netherlands.

Urology Annals
|May 11, 2013
PubMed

We describe a case-report of a chylous ascites after laparoscopic donor nephrectomy, summarize the current literature, and hypothesize on the etiology of this complication.

Keywords:
Chylous asciteshand-assistedlaparoscopic donor nephrectomy

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DefinitionAscites is the buildup of fluid inside the peritoneal cavity. It occurs when fluid moves out of the vascular system faster than the peritoneal lymphatics can remove it. This fluid shift is most commonly seen in liver cirrhosis but can also appear in several other systemic disorders.EtiologyCirrhosis remains the leading cause of ascites. Other conditions that can contribute include:Heart failureConstrictive pericarditisAbdominal cancersNephrotic syndromeSevere protein–calorie...