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  • Title: Chylous complications after abdominal aortic surgery.
    Author: Haug ES, Saether OD, Odegaard A, Johnsen G, Myhre HO.
    Journal: Int Angiol; 1998 Dec; 17(4):244-7. PubMed ID: 10204656.
    Abstract:
    Two patients developed chylous complications following abdominal aortic aneurysm repair. One patient had chylous ascitis and was successfully treated by a peritoneo-caval shunt. The other patient developed a lymph cyst, which gradually resorbed after puncture. Chylous complications following aortic surgery are rare. Patients in bad a general condition should be treated by initial paracentesis and total parenteral nutrition, supplemented by medium-chain triglyceride and low-fat diet. If no improvement is observed on this regimen, the next step should be implementation of a peritoneo-venous shunt, whereas direct ligation of the leak should be reserved for those who are not responding to this treatment.
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