Combined Chylothorax and Chylous Ascites Complicating Liver Transplantation: A Report of a Case and Review of the Literature
المؤلفون المشاركون
Rizzari, Michael D.
Nasser, Hassan
Munie, Semeret
Ivanics, Tommy
Leonard-Murali, Shravan
Yoshida, Atsushi
Nagai, Shunji
Collins, Kelly
Abouljoud, Marwan
المصدر
Case Reports in Transplantation
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-07-21
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Chyle leaks may occur as a result of surgical intervention.
Chyloperitoneum, or chylous ascites after liver transplantation, is rare and the development of chylothorax after abdominal surgery is even more rare.
With increasingly aggressive surgical resections, particularly in the retroperitoneum, the incidence of chyle leaks is expected to increase in the future.
Here we present a unique case of a combined chylothorax and chyloperitoneum following liver transplantation successfully managed conservatively.
Risk factors for chylous ascites include para-aortic manipulation, extensive retroperitoneal dissection, use of a Ligasure device, and early enteral feeding as well as early enteral feeding.
The clinical presentation is typically insidious and may include painless abdominal distension.
Diagnosis can be made by noting characteristic milky white drainage which on laboratory examination has a total fluid triglyceride level >110 mg/dl, an ascites/serum triglyceride ratio of >1 and a leukocyte count in fluid >1000/uL with a lymphocyte predominance.
Chyle leaks may lead to significant morbidity and mortality.
Numerous management options exist, with conservative nonoperative measurements leading to the most consistent and successful outcomes.
This includes a step-up approach beginning with dietary modifications to a low-fat or medium chain triglyceride diet followed by nil per os with addition of total parenteral nutrition and somatostatin analogues such as octreotide.
Rarely do patients require more invasive treatment.
Early recognition and appropriate management are imperative to mitigate this complication.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ivanics, Tommy& Munie, Semeret& Nasser, Hassan& Leonard-Murali, Shravan& Yoshida, Atsushi& Nagai, Shunji…[et al.]. 2019. Combined Chylothorax and Chylous Ascites Complicating Liver Transplantation: A Report of a Case and Review of the Literature. Case Reports in Transplantation،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1145265
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ivanics, Tommy…[et al.]. Combined Chylothorax and Chylous Ascites Complicating Liver Transplantation: A Report of a Case and Review of the Literature. Case Reports in Transplantation No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1145265
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ivanics, Tommy& Munie, Semeret& Nasser, Hassan& Leonard-Murali, Shravan& Yoshida, Atsushi& Nagai, Shunji…[et al.]. Combined Chylothorax and Chylous Ascites Complicating Liver Transplantation: A Report of a Case and Review of the Literature. Case Reports in Transplantation. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1145265
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1145265
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر