RT Journal Article
T1 Laparoscopic aproach in post-traumatic chylous ascites.
A1 Tallón-Aguilar, L
A1 López-Ruiz, J A
A1 Domínguez-Sánchez, C
A1 Pareja-Ciuró, F
A1 Padillo-Ruiz, J
K1 Abdominal blunt trauma
K1 Chylous ascites
K1 Emergency surgery
K1 Laparoscopy
AB Chylous ascites is a rare condition little reported in literature, with even more exceptional traumatic origin. Its production mechanism is not known exactly but has been attributed to hyperflexion or hyperextension of the spine leading to a rupture of lymph ducts. We present a case of post-traumatic chyloperitoneum in a young patient after abdominal blunt trauma. Conservative treatment should be the first therapeutic option, especially if the origin is traumatic, reserving more aggressive possibilities for cases that do not respond after 15 days, if debt is greater than 1.5 litres/day in adult patients or in those with metabolic complications. A laparoscopic approach is indicated to confirm the diagnosis and to rule out other associated injuries that may require other surgical procedures.
YR 2018
FD 2018-01-24
LK http://hdl.handle.net/10668/12040
UL http://hdl.handle.net/10668/12040
LA en
DS RISalud
RD Apr 16, 2025