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KMID : 0364019940270090798
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Korean Journal of Thoracic and Cardiovascular Surgery
1994 Volume.27 No. 9 p.798 ~ p.800
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Chylous Ascites after Aorto-Bifemoral bypass Graft
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Abstract
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Chyloascities is an extravasation of milky chyle into the peritoneal cavity due to tumor, inflammation or rarely postoperative lymphatic trauma.
It is an unusual complication that can lead to significant immunologic and nutritional consequences.
We experienced one case of chyloascites after aorto-bifemoral bypass graft in a patient with aortoiliac occlusive disease.
The patient was a 62-year-old male, who suffered from severe progressive claudication for 5 months. A 16*8mm gelsealed Dacron-Y shaped graft was used in arterial reconstruction.
A bloody-milky fluid was drained through the operative wound from 3 days after operation and evaluated biochemically.
Diagnosis of chyloascites was made with repeated paracentesis and examination of the fluid.
After Total parenteral nutrition(T. P. N) for 3 weeks from 6 days after operation, chyloascites was controlled sufficiently and maintained a good graft-patency in abdominal sonogram. (Korean J Thoracic Cardiovas Surg 1994; 27:798-800)
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