Management of Chylous Ascites After Laparoscopic Cholecystectomy Using Minimally Invasive Techniques: A Case Report and Literature Review

Jensen, Eric H.; Weiss III, Carl A.
January 2006
American Surgeon;Jan2006, Vol. 72 Issue 1, p60
Academic Journal
Chylous ascites is a rare complication after many abdominal procedures. It has never been reported after laparoscopic cholecystectomy. We describe a 31-year-old female who presented 2 weeks postoperatively after laparoscopic cholecystectomy with abdominal distention and pain. A percutaneously drained abdominal fluid collection revealed chylous ascites. Lymphoscintigraphy demonstrated extravasation at the level of the hepatic fossa. At laparoscopic exploration, a chylous leak within the gallbladder fossa was controlled with suture ligation and fibrin glue with immediate resolution of the leak. This demonstrates a novel, minimally invasive technique for control of a previously unreported complication after laparoscopic cholecystectomy.


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