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Chylous Ascites Following Laparoscopic Donor Nephrectomy: A Case Report.
Omar Buksh1, Abdullah M Almalki1, Anfal Jar1
1Department of Urology, King Faisal Specialist Hospital and Research Centre, Jeddah, SAU.
Cureus
|June 5, 2023
Summary
Chylous ascites, a rare complication, occurred after laparoscopic donor nephrectomy. This case highlights the importance of recognizing and managing this post-surgical complication in kidney transplant patients.
Area of Science:
- Nephrology
- Transplant Surgery
- Gastroenterology
Background:
- Chylous ascites is peritoneal fluid accumulation from lymphatic issues.
- It is a rare complication following abdominal surgeries.
- Risk factors include higher BMI and ASA physical status score.
Observation:
- A patient developed chylous ascites three weeks post-laparoscopic donor nephrectomy.
- Symptoms included abdominal distention, discomfort, constipation, and nausea.
- Diagnostic paracentesis confirmed milky fluid consistent with chylous ascites.
Findings:
- The patient required a pigtail drain, removing 4 L of fluid.
- This represents the first reported case of chylous ascites post-donor nephrectomy in the region.
- Conservative management with diet modification is the initial treatment.
Implications:
- Early recognition and management are crucial for patient outcomes.
- This case expands the understanding of chylous ascites following nephrectomy.
- Further research may explore preventative strategies and optimize treatment protocols.
