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Chylous drainage through percutaneous cholecystostomy: an extremely rare complication
Christina Ellison1, Yuichi Igarashi2, Noubar Kevorkian3
1General Surgery Residency Program, University of Connecticut, Farmington, CT 06032, USA.
Journal of Surgical Case Reports
|March 1, 2024
Summary
Chyle leak, a rare surgical complication, occurred after percutaneous cholecystostomy tube placement in a patient with extensive surgical history. This case highlights a previously unreported complication of this procedure.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Surgery
Background:
- Chyle leak is a rare but serious complication following abdominal surgery.
- While chylous ascites have been reported after cholecystectomy, it has not been documented after percutaneous cholecystostomy tube (PCT) insertion.
Observation:
- A 67-year-old female with recurrent uterine papillary serous carcinoma and a history of multiple abdominal surgeries presented with acute cholecystitis.
- Percutaneous cholecystostomy tube (PCT) was placed for management.
- The PCT dislodged and was replaced. Subsequently, chylous output was observed from the PCT.
Findings:
- The patient developed a persistent chyle leak following PCT placement.
- Complications included distributive shock and adrenal insufficiency.
- The chyle leak contributed to the patient's poor outcome.
Implications:
- This case represents the first reported instance of chyle leak associated with percutaneous cholecystostomy tube insertion.
- It underscores the potential for rare complications even with minimally invasive procedures.
- Further vigilance and investigation may be warranted for PCT-related lymphatic complications.
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