Abstract
Chylous ascites is infequent after abdominal surgery. We describe the case of a 43-year-old man with portal cavernomatosis who underwent surgery to insert a splenorenal shunt, which was not placed due to the absence of signs of portal hypertension. On postoperative day 20, the patient developed abdominal distension and mild dyspnea and was diagnosed with chylous ascites, which was related to the surgery. The patient was initially treated with diet and diuretics, with no clinical response, and consequently octreotide therapy was started. Four days later, the ascites was almost resolved and an ultrasound scan at 4 months showed its complete disappearance. This article demonstrates the effectiveness of octreotide in the treatment of postsurgical chylous ascites.
Copyright © 2012 Elsevier España, S.L. and AEEH y AEG. All rights reserved.
MeSH terms
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Adrenergic beta-Antagonists / therapeutic use
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Adult
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Anticoagulants / therapeutic use
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Chylous Ascites / diagnostic imaging
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Chylous Ascites / diet therapy
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Chylous Ascites / drug therapy*
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Chylous Ascites / etiology
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Collateral Circulation
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Combined Modality Therapy
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Diuretics / therapeutic use
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Esophageal and Gastric Varices / etiology
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Esophageal and Gastric Varices / surgery
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Humans
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Hypertension, Portal / complications
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Hypertension, Portal / etiology
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Hypertension, Portal / surgery
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Ligation
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Male
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Mesenteric Veins / surgery
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Octreotide / therapeutic use*
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Portal Vein / abnormalities
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Portal Vein / surgery
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Postoperative Complications / diagnostic imaging
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Postoperative Complications / diet therapy
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Postoperative Complications / drug therapy*
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Postoperative Complications / etiology
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Tissue Adhesions / complications
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Ultrasonography
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Venous Thrombosis / etiology
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Venous Thrombosis / surgery
Substances
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Adrenergic beta-Antagonists
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Anticoagulants
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Diuretics
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Octreotide
Supplementary concepts
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Portal Vein, Cavernous Transformation Of