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KMID : 1137020080190010093
Journal of Gynecologic Oncology
2008 Volume.19 No. 1 p.93 ~ p.98
A case of massive serous ascites following radical hysterectomy with bilateral pelvic Lymphadenectomy for cervical adenocarcinoma stage IB2
Hong Dae-Gy

Kim Bo-Seop
Lee Yoon-Soon
Park Il-Soo
Cho Young-Lae
Abstract
Ascites following radical hysterectomy with retroperitoneal lymphadenectomy for invasive cervical cancer has been
reported previously. Most of these reports described chylous ascites. The chylous ascitic fluid is milky; further, chylous
ascites leads to nutritional problems. Authors present the case of a patient who developed serous ascites following radical
hysterectomy with bilateral pelvic lymphadenectomy. The amount of ascites was approximately 18,000 ml over 52 days.
The patient had no nutritional problems or complications. Although the etiology could not be determined, Authors
surmise that the ascites may have been due to massive drainage from injured lymphatic channels below the cisterna chyli. Authors could not found any literatures which described massive serous ascites following surgery in gynecologic
malignancy and reports this case with review of literatures.
KEYWORD
Cervix cancer, Ascites, Radical hysterectomy, Lymphadenectomy, Chylous ascites
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