Four Cases of Chylous Ascites following Robotic Gynecologic Oncological Surgery

Four Cases of Chylous Ascites following Robotic Gynecologic Oncological Surgery

Chylous ascites is an uncommon form of ascites characterized by milky-appearing fluid caused by blocked or disrupted lymph flow through chyle-transporting vessels. The most common causes of chylous ascites are therapeutic interventions and trauma. In this report, we present four cases of chylous asc...

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Main Authors: Ahmet Göçmen, Muhittin Eftal Avcı, Fatih Şanlıkan, Mustafa Gazi Uçar
Format: Article
Language:English
Published: Hindawi Limited 2014-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2014/953965
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spelling doaj-0a5cc8de099f457aae9c41c87ae25cf32020-11-24T22:31:52ZengHindawi LimitedCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/953965953965Four Cases of Chylous Ascites following Robotic Gynecologic Oncological SurgeryAhmet Göçmen0Muhittin Eftal Avcı1Fatih Şanlıkan2Mustafa Gazi Uçar3Obstetrics and Gynecology Department, Umraniye Education and Research Hospital, 34766 İstanbul, TurkeyDepartments of Aegean Obstetrics and Gynecology, Training and Research Hospital, 35170 Izmir, TurkeyObstetrics and Gynecology Department, Umraniye Education and Research Hospital, 34766 İstanbul, TurkeyDepartments of Obstetrics and Gynecology, Konya Education and Research Hospital, 423030 Konya, TurkeyChylous ascites is an uncommon form of ascites characterized by milky-appearing fluid caused by blocked or disrupted lymph flow through chyle-transporting vessels. The most common causes of chylous ascites are therapeutic interventions and trauma. In this report, we present four cases of chylous ascites following robot-assisted surgery for endometrial staging and the treatment strategies that we used. After retroperitoneal lymph node dissection, leaving a drain is very useful in diagnosing chylous ascites and observing its resolution; furthermore, the use of octreotide in conjunction with TPN appears to be an efficient treatment modality for chylous ascites and should be considered before any invasive intervention.http://dx.doi.org/10.1155/2014/953965
collection DOAJ
language English
format Article
sources DOAJ
author Ahmet Göçmen
Muhittin Eftal Avcı
Fatih Şanlıkan
Mustafa Gazi Uçar
spellingShingle Ahmet Göçmen
Muhittin Eftal Avcı
Fatih Şanlıkan
Mustafa Gazi Uçar
Four Cases of Chylous Ascites following Robotic Gynecologic Oncological Surgery
Case Reports in Obstetrics and Gynecology
author_facet Ahmet Göçmen
Muhittin Eftal Avcı
Fatih Şanlıkan
Mustafa Gazi Uçar
author_sort Ahmet Göçmen
title Four Cases of Chylous Ascites following Robotic Gynecologic Oncological Surgery
title_short Four Cases of Chylous Ascites following Robotic Gynecologic Oncological Surgery
title_full Four Cases of Chylous Ascites following Robotic Gynecologic Oncological Surgery
title_fullStr Four Cases of Chylous Ascites following Robotic Gynecologic Oncological Surgery
title_full_unstemmed Four Cases of Chylous Ascites following Robotic Gynecologic Oncological Surgery
title_sort four cases of chylous ascites following robotic gynecologic oncological surgery
publisher Hindawi Limited
series Case Reports in Obstetrics and Gynecology
issn 2090-6684
2090-6692
publishDate 2014-01-01
description Chylous ascites is an uncommon form of ascites characterized by milky-appearing fluid caused by blocked or disrupted lymph flow through chyle-transporting vessels. The most common causes of chylous ascites are therapeutic interventions and trauma. In this report, we present four cases of chylous ascites following robot-assisted surgery for endometrial staging and the treatment strategies that we used. After retroperitoneal lymph node dissection, leaving a drain is very useful in diagnosing chylous ascites and observing its resolution; furthermore, the use of octreotide in conjunction with TPN appears to be an efficient treatment modality for chylous ascites and should be considered before any invasive intervention.
url http://dx.doi.org/10.1155/2014/953965
work_keys_str_mv AT ahmetgocmen fourcasesofchylousascitesfollowingroboticgynecologiconcologicalsurgery
AT muhittineftalavcı fourcasesofchylousascitesfollowingroboticgynecologiconcologicalsurgery
AT fatihsanlıkan fourcasesofchylousascitesfollowingroboticgynecologiconcologicalsurgery
AT mustafagaziucar fourcasesofchylousascitesfollowingroboticgynecologiconcologicalsurgery
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