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  • Title: Chylous ascites following abdominal aortic surgery.
    Author: Panieri E, Kussman BD, Michell WL, Tunnicliffe JA, Immelman EJ.
    Journal: S Afr J Surg; 1995 Mar; 33(1):26-8. PubMed ID: 7631253.
    Abstract:
    Chylous ascites is an extremely rare complication of abdominal aortic surgery. A case with a successful outcome is presented, followed by a review of the 17 published cases. Chylous ascites can result in nutritional imbalance, immunological deficit and respiratory dysfunction. Paracentesis confirms the diagnosis and provides symptomatic relief. Conservative management, beginning with a low-fat diet and medium-chain triglyceride (MCT) supplementation, is recommended, changing to total parenteral nutrition if unsuccessful. Failure of non-operative treatment may necessitate the need for laparotomy and ligation of leaking lymphatics or peritoneovenous shunting.
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