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  • Title: Management of chylous ascites after laparoscopic cholecystectomy using minimally invasive techniques: a case report and literature review.
    Author: Jensen EH, Weiss CA.
    Journal: Am Surg; 2006 Jan; 72(1):60-3. PubMed ID: 16494185.
    Abstract:
    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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