A case of successful conservative treatment for chylous ascites after living-donor liver transplantation.

Abstract

A 46-year-old man underwent living-donor liver transplantation and splenectomy for primary biliary cirrhosis. On postoperative day 22, cloudiness of ascites increased, and triglyceride concentration in ascites was as high as 1046 mg/dL. With a diagnosis of chylous ascites, total parenteral nutrition was started. Nine days after starting total parenteral nutrition, cloudiness of ascites decreased, and triglycerides in ascites decreased to 93 mg/dL. Oral intake was restarted, and the patient was discharged on postoperative day 46. Chylous ascites is a rare complication after living-donor liver transplantation for which total parenteral nutrition may be useful.

• Authors: Hiroaki Shiba, Shigeki Wakiyama, Takeshi Gocho, Yuichi Ishida, Takeyuki Misawa, Katsuhiko Yanaga
• Journal: International surgery (Int Surg) 2012 Oct-Dec Vol. 97 Issue 4 Pg. 360-2 ISSN: 2520-2456 [Electronic] Italy
• PMID: 23294080 (Publication Type: Case Reports, Journal Article)

Topics

• Chylous Ascites (etiology, therapy)
• Humans
• Liver Transplantation
• Living Donors
• Male
• Middle Aged
• Parenteral Nutrition, Total
• Postoperative Complications (therapy)