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Management of chylous ascites after laparoscopic cholecystectomy using minimally invasive techniques: a case report and literature review



Management of chylous ascites after laparoscopic cholecystectomy using minimally invasive techniques: a case report and literature review



American Surgeon 72(1): 60-63



Chylous ascites is a rare complication after many abdominal procedures. It has never been reported after laparoscopic cholecystectomy. We describe a 31-year-old female who presented 2 weeks postoperatively after laparoscopic cholecystectomy with abdominal distention and pain. A percutaneously drained abdominal fluid collection revealed chylous ascites. Lymphoscintigraphy demonstrated extravasation at the level of the hepatic fossa. At laparoscopic exploration, a chylous leak within the gallbladder fossa was controlled with suture ligation and fibrin glue with immediate resolution of the leak. This demonstrates a novel, minimally invasive technique for control of a previously unreported complication after laparoscopic cholecystectomy.

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Accession: 049523322

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PMID: 16494185


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