La ascitis quilosa es una complicación extremadamente infrecuente de la cirugía aórtica abdominal, que puede ocasionar problemas nutricionales, deficiencias. La ascitis quilosa consiste en el acúmulo de quilo en la cavidad abdominal. Su presentación postquirúrgica ocurre a consecuencia de una lesión inadvertida de . Introducción. La ascitis quilosa es una complicación rara después de diferentes intervenciones abdominales y retroperitoneales. Aunque suele desaparecer.

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Ascitis quilosa tras cirugía de aorta abdominal – ScienceDirect

Chylous ascites in cirrhosis: Although they have been used successfully in the treatment of chylous ascites, the mechanism of action in these disorders remains unclear, and need further research.

Treatment was directed to removing ascitis by ascihis paracenteses, bowel rest, total parenteral nutrition and, finally, enteral nutrition with medium chain triglycerides.

By continuing you agree to the use of cookies. Discussion The incidence of chylous ascites in developed countries is approximately one case per 20, admissions, although large epidemiological studies are lacking. The patient moved to the General Surgery ward in order to drain abdominal collections.

It usually present ascitsi abdominal distention and pain ascitia drainage of milky fluid from surgical wound or abdominal drain. Three days after surgery, a chylous fluid appears in the abdominal drainage, which disappears spontaneously.


ascitis quilosa

Khan FY, Matar I. Acute and chronic pancreatitis are known causes of chylous ascites.

Abstract Chylous ascites consists of the accumulation of chyle in the abdominal cavity. The proposed pathophysiological mechanism includes the obstruction of the lymph flow through the dilated subserosal lymphatics into the peritoneal cavity which produces collagen deposition, fibrosis, and protein-losing enteropathy.

Term Bank – ascitis quilosa – Spanish English Dictionary

Quiloxa the confirmation of chylous ascites, total parenteral nutrition through a Peripheral Inserted Central Catheter PICC and somatostatin analogs were started.

Chylous ascites associated with acute pancreatitis ascittis a patient undergoing continuous ambulatory peritoneal dialysis. Recommended articles Citing articles 0. N Engl J Med ; J Urol ; Get Access Get Access. She was treated in a conservative way, with no diagnostic or palliative paracentesis, low salt and lipids diet, and espironolactone, with complete cure in a month.

Chylous ascites is an uncommon finding which is due to the presence of thoracic or intestinal lymph in the abdominal cavity. Several days later, the patient worsened again with fever of 39 o C and abdominal pain. Retrospective study of 20 cases.

Hypertriglyceridemia-associated acute pancreatitis with chylous ascites in pregnancy.

Elsevier About ScienceDirect Remote access Shopping cart Contact and support Terms and conditions Privacy policy We use cookies to help provide and enhance our service and tailor content and ads. Two years later, with radiological evidence of no abdominal collections not any remnant ascitic fluid, she went on a free diet. Palabras clave ascitis quilosa. This type of triglycerides is directly absorbed from the bowel to the portal circulation, without passing through the lymph vessels, and it reduces the production and flow of lymph.


Other mechanisms that have been involved are the exudation of lymph through the walls of congenital or acquired dilated retroperitoneal vessels into the abdominal cavity, and the obstruction from direct trauma of the thoracic duct 3. Chylous ascites in an adult patient with nephrotic syndrome due to membranous nephropathy.

Acta Quilpsa Taiwan ; This composition is specially designed for the treatment of chylothorax, chylous ascites, and other processes wuilosa impaired lymph circulation. J Clin Gastroenterol ; 6: Balsa 1I. At this time enteral nutrition support was progressively introduced. Am J Med Sci ; Comment A conservative treatment, with diuretics, low lipids and salt diet, and eventually repeated paracentesis should be the first options for chylous ascites after nephrectomy.

The diagnosis and management of postoperative chylous ascits. Chylous ascites in cirrhosis. The serum-ascites albumin gradient is superior to the exudate-transudate concept in the differential diagnosis of ascites.

Ann Intern Med ; Evaluation and management of chylous ascites.