PDF(Pubmed)
Abstract：
BACKGROUND: Chylous ascites is a rare but morbid condition following removal of residual mass in non-seminomatous germ cell tumours following chemotherapy.
METHODS: We hereby present the case of a 20-year-old man who had undergone RPLND with complete surgical excision. A lesion of the Cisterna chyli complicated the operation. The post-operative course was marked by the appearance of chylous ascites. The conservative management strategy for this complication was successful, but only after a month.
UNASSIGNED: Chylous ascites is a rare but morbid condition following removal of residual mass in non-seminomatous germ cell tumours following chemotherapy. Conservative management based on a high-protein diet with fat restriction and medium-chain triglyceride supplementation, and somatostatine are usually successful. Surgery should be reserved for situations that are refractory to treatment.
CONCLUSIONS: We report our successful management and, we also analysed the different management protocols using our experience and review of the literature.
METHODS: We hereby present the case of a 20-year-old man who had undergone RPLND with complete surgical excision. A lesion of the Cisterna chyli complicated the operation. The post-operative course was marked by the appearance of chylous ascites. The conservative management strategy for this complication was successful, but only after a month.
UNASSIGNED: Chylous ascites is a rare but morbid condition following removal of residual mass in non-seminomatous germ cell tumours following chemotherapy. Conservative management based on a high-protein diet with fat restriction and medium-chain triglyceride supplementation, and somatostatine are usually successful. Surgery should be reserved for situations that are refractory to treatment.
CONCLUSIONS: We report our successful management and, we also analysed the different management protocols using our experience and review of the literature.
摘要：
背景：乳糜腹水是一种罕见但病态的疾病，在化疗后去除非精原细胞生殖细胞肿瘤的残余肿块。
方法：我们在此介绍一例20岁的男性，他接受了RPLND手术切除。Cisterna乳糜的病变使手术复杂化。术后过程以乳糜腹水的出现为标志。这种并发症的保守治疗策略是成功的，但只有一个月后。
■乳糜腹水是一种罕见但病态的疾病，在化疗后去除非精原细胞生殖细胞肿瘤的残余肿块。基于高蛋白饮食限制脂肪和中链甘油三酯补充的保守管理，和生长抑素通常是成功的。手术应保留用于难以治疗的情况。
结论：我们报告了我们成功的管理，我们还利用我们的经验和文献综述分析了不同的管理方案。
方法：我们在此介绍一例20岁的男性，他接受了RPLND手术切除。Cisterna乳糜的病变使手术复杂化。术后过程以乳糜腹水的出现为标志。这种并发症的保守治疗策略是成功的，但只有一个月后。
■乳糜腹水是一种罕见但病态的疾病，在化疗后去除非精原细胞生殖细胞肿瘤的残余肿块。基于高蛋白饮食限制脂肪和中链甘油三酯补充的保守管理，和生长抑素通常是成功的。手术应保留用于难以治疗的情况。
结论：我们报告了我们成功的管理，我们还利用我们的经验和文献综述分析了不同的管理方案。
