Chylous Ascites after Abdominal Aortic Aneurysm Repair
Shinichi Ohki1, Soki Kurumisawa1, Yoshio Misawa1
1Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Abstract:
A 73-year-old man was transferred for treatment of abdominal aortic aneurysm. He had no history of abdominal surgeries. Grafting between the infra-renal abdominal aorta and the bilateral common iliac arteries was performed. Proximal and distal cross clamps were applied for grafting. He developed chylous ascites on the 5th post-operative day, 2 days after initiation of oral intake. Fortunately, he responded to treatment with total parenteral hyper-alimentation for 10 days, followed by a low-fat diet. There was no recurrence of ascites.
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