Ascitis quilosa postraumática tratada con nutrición parenteral total y octreótido / Post-trauma Chylous Ascites Treated with Total Parenteral Nutrition and Octreotide
Rev. cuba. cir
; 57(3): e589, jul.-set. 2018.
Article
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| ID: biblio-985525
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RESUMEN
La ascitis quilosa es la acumulación de quilo en la cavidad peritoneal por ruptura u obstrucción de los conductos linfáticos abdominales. Aunque es infrecuente, se describe mayor probabilidad de aparición después de traumas abdominales. Se presenta un paciente masculino de 46 años que sufre herida por arma blanca tóracoabdominal por lo que requirió tratamiento quirúrgico de urgencia. Luego de varias cirugías se constató la presencia de líquido abdominal blanquecino, con triglicéridos elevados. Se confirmó la ascitis quilosa, que se reabsorbió en 45 días con nutrición parenteral y octreótido(AU)
ABSTRACT
Chylous ascites is the accumulation of lipid-rich lymph in the peritoneal cavity due to rupture or obstruction of the abdominal lymph ducts. Although it is rare, greater probability is described for its onset after abdominal traumas. The case is presented of a 46-year-old male patient who suffers from a thorax-abdomen knife wound and therefore required emergency surgical treatment. After several surgeries, the presence of whitish abdominal liquid was detected, with elevated triglycerides. Chylous ascites was confirmed, which was reabsorbed in 45 days with parenteral nutrition and octreotide(AU)
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Texto completo:
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Índice:
LILACS
Assunto principal:
Ferimentos e Lesões
/
Colangiografia
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Octreotida
/
Ascite Quilosa
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Nutrição Parenteral
Limite:
Humans
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Male
Idioma:
Es
Revista:
Rev. cuba. cir
Assunto da revista:
CIRURGIA GERAL
Ano de publicação:
2018
Tipo de documento:
Article