Chylous ascites following abdominal aortic surgery

Russell A. Williams, John Vetto, William Quiñones-Baldrich, Frederic S. Bongard, Samuel E. Wilson

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Three patients, two women, one man (mean age 74 years), who had abdominal aortic aneurysms (2) or aortobifemoral surgery (1), developed chylous ascites postoperatively. They were studied to determine their clinical course and develop a plan for management of this complication. In each patient, the ascites was not manifest until abdominal swelling developed two weeks after operation, and the problem was confirmed by the finding of milky fluid on paracentesis. A low serum albumin (mean 2.6 gm) was also characteristic. The ascites was not altered by parenteral nutrition or reduction of dietary fat and ingestion of medium chain triglycerides. In one patient (man, age 93) the ascites resolved spontaneously two months after abdominal aortic aneurysm surgery. Another (woman, age 70) was cured following operative ligation of a lymphatic fistula identified at operation five weeks after abdominal aortic aneurysm repair. In the third (woman, age 60), the ascites resolved immediately following placement of a peritoneal venous shunt six weeks after an aortobifemoral bypass. Chylous ascites is rare after aortic surgery and manifests itself about two weeks after operation, at times after discharge from hospital. It has an indolent course, but may resolve spontaneously up to two months after operation. Its course appears not to be foreshortened by diet, including omission of fat, but can be successfully treated surgically with a shunt or fistula ligation. If done early a protracted hospital course may be avoided.

Original languageEnglish (US)
Pages (from-to)247-252
Number of pages6
JournalAnnals of Vascular Surgery
Volume5
Issue number3
DOIs
StatePublished - May 1991
Externally publishedYes

Fingerprint

Chylous Ascites
Ascites
Abdominal Aortic Aneurysm
Fistula
Ligation
Paracentesis
Dietary Fats
Parenteral Nutrition
Serum Albumin
Triglycerides
Eating
Fats
Diet

Keywords

  • abdominal aortic operations
  • ascites
  • Chylous ascites

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Williams, R. A., Vetto, J., Quiñones-Baldrich, W., Bongard, F. S., & Wilson, S. E. (1991). Chylous ascites following abdominal aortic surgery. Annals of Vascular Surgery, 5(3), 247-252. https://doi.org/10.1007/BF02329381

Chylous ascites following abdominal aortic surgery. / Williams, Russell A.; Vetto, John; Quiñones-Baldrich, William; Bongard, Frederic S.; Wilson, Samuel E.

In: Annals of Vascular Surgery, Vol. 5, No. 3, 05.1991, p. 247-252.

Research output: Contribution to journalArticle

Williams, RA, Vetto, J, Quiñones-Baldrich, W, Bongard, FS & Wilson, SE 1991, 'Chylous ascites following abdominal aortic surgery', Annals of Vascular Surgery, vol. 5, no. 3, pp. 247-252. https://doi.org/10.1007/BF02329381
Williams RA, Vetto J, Quiñones-Baldrich W, Bongard FS, Wilson SE. Chylous ascites following abdominal aortic surgery. Annals of Vascular Surgery. 1991 May;5(3):247-252. https://doi.org/10.1007/BF02329381
Williams, Russell A. ; Vetto, John ; Quiñones-Baldrich, William ; Bongard, Frederic S. ; Wilson, Samuel E. / Chylous ascites following abdominal aortic surgery. In: Annals of Vascular Surgery. 1991 ; Vol. 5, No. 3. pp. 247-252.
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