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A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,899

Frequency: Bi-Monthly

ISSN 0392-9590

Online ISSN 1827-1839


International Angiology 1998 December;17(4):244-7


Chylous com­pli­ca­tions after abdom­i­nal aor­tic sur­gery

Haug E. S., Saether O. D., Ødegaard A. *, Johnsen G., Myhre H. O.

From the Departments of Surgery and Radiology*, University Hospital of Trondheim, Trondheim, Norway

Two ­patients devel­oped chy­lous com­pli­ca­tions fol­low­ing abdom­i­nal aor­tic aneu­rysm ­repair. One ­patient had chy­lous ­ascitis and was suc­cess­ful­ly treat­ed by a per­i­to­neo-caval shunt. The other ­patient devel­oped a lymph cyst, which grad­u­al­ly ­resorbed after punc­ture. Chylous com­pli­ca­tions fol­low­ing aor­tic sur­gery are rare. Patients in bad a gen­er­al con­di­tion ­should be treat­ed by ­initial par­a­cen­te­sis and total paren­ter­al nutri­tion, sup­ple­ment­ed by medi­um-chain tri­gly­ce­ride and low-fat diet. If no improve­ment is ­observed on this ­regimen, the next step ­should be imple­men­ta­tion of a per­i­to­neo-­venous shunt, where­as ­direct liga­tion of the leak ­should be ­reserved for those who are not respond­ing to this treat­ment.

language: English


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