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  • Title: Chylous ascites following abdominal aortic aneurysmectomy: surgical management with a peritoneovenous shunt.
    Author: Boyd WD, McPhail NV, Barber GC.
    Journal: J Cardiovasc Surg (Torino); 1989; 30(4):627-9. PubMed ID: 2777872.
    Abstract:
    The development of chylous ascites after emergency repair of a ruptured abdominal aortic aneurysm (AAA) is an extremely rare complication with potentially grave mechanical, nutritional, and immunologic consequences. A 54-year-old man with recurrent, symptomatic chylous ascites ultimately required insertion of a peritoneovenous shunt after non-operative measures failed to provide relief. This is the fourth reported case of chylous ascites following ruptured AAA and only the second treated by peritoneovenous shunt placement.
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