Chylous asctites post abdominal laparotomy; revision and report of a case.

Jessica Ares, Paloma Pellejero, Lucia Díaz-Naya, Francisco Villazón, Alicia Martín-Nieto, Edelmiro Menéndez Torre, Ceferino Martínez-Faedo

We describe the case of a 23 year old man who had undergone laparoscopic surgery in order to remove a residual mass secondary to a testicular embryonal carcinoma. 15 days after he attended the emergency department complaining about abdominal bloating and copious drainage via the two laparoscopic surgery incisions. Biochemical analysis was consistent with chylous ascites. Although this is uncommon, it is well known that there is more likely to develop chylous ascites after oncologic surgery if retroperitoneal lymph nodes dissection is performed1. We decide to start with conservative treatment (dietary modifications) but, as it is not enough, then we decide stop any oral intake and treat him with parenteral nutrition, achieving then total resolution of the ascites.