Chyle leak following total colectomy for ulcerative colitis: a case report and review of the literature.
Ann R Coll Surg Engl
; 103(7): e231-e233, 2021 Jul.
Article
em En
| MEDLINE
| ID: mdl-34192489
ABSTRACT
Chyle leak is a rare complication in colorectal surgery. It occurs due to disruption of the lymphatic drainage network in the abdomen or retroperitoneum. We describe the first reported case of chyle leak following total colectomy for inflammatory bowel disease. Our patient underwent total colectomy for severe ulcerative colitis not responsive to medical treatment. Four days postoperatively, a milky fluid was noted in the drainage bag. Analysis of the fluid confirmed chyle. The patient remained well and was successfully managed conservatively with a fat-free elemental diet and was discharged from hospital on day 12 postoperatively. A review of the literature suggests that conservative management with dietary modification is a common and effective management strategy; however, medical and surgical options exist for refractory cases.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Colite Ulcerativa
/
Quilo
/
Colectomia
/
Dieta com Restrição de Gorduras
Tipo de estudo:
Etiology_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Ann R Coll Surg Engl
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Reino Unido