AI Article Synopsis
- A 59-year-old woman experienced increasing abdominal pain and diarrhea following a kidney donation surgery, leading to a diagnosis of chyloretroperitoneum.
- After unsuccessful dietary changes and the occurrence of dyspnea due to chylothorax, she underwent multiple treatments including thoracic drainage and somatostatin therapy.
- The text highlights the challenges of managing severe chylous fistula post-surgery, suggesting early aggressive conservative treatment, with surgical options based on individual complications.
Article Abstract
A 59-year-old woman complained of increasing pain in the left abdomen and of diarrheal symptoms after left-sided retroperitoneoscopic living donor nephrectomy. Computed tomography revealed chyloretroperitoneum. The fluid was drained percutaneously, followed by recurrent drain replacement surgery. Her diet was changed to short-chain and medium-chain fatty acids without success. After onset of dyspnea due to chylothorax, the donor underwent thoracic drainage, fully parenteral therapy, and finally somatostatin application therapy. The postoperative management of severe chylous fistula is difficult. Therefore, we recommend an early start of maximal conservative therapy. Surgical options depend on pain occurrence or mechanical problems.
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| http://dx.doi.org/10.1016/j.urology.2005.04.025 | DOI Listing |
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