Spontaneous chylous ascites after laparoscopic cholecystectomy:a case report

Arpit Bansal; Ashwani Kumar Bansal; Vandana Bansal; Mamta Singh

doi:10.18203/2349-2902.isj20160271

Authors

Arpit Bansal Department of Surgery, Jeevan Jyoti Hospital, Allahabad, U.P., India
Ashwani Kumar Bansal Department of Surgery, Jeevan Jyoti Hospital, Allahabad, U.P., India
Vandana Bansal Department of Obstetrics and Gynecology, Jeevan Jyoti Hospital, Allahabad, U.P., India
Mamta Singh Department of pathology, M.L.N. Medical College, Allahabad, U.P., India

DOI:

https://doi.org/10.18203/2349-2902.isj20160271

Keywords:

Chyle leake, Cholecyctectomy, Cholelithiasis, Postoperative complication

Abstract

Cholecystitis with cholelithiasis is a very common disease in clinical practice. Now a days it is treated by laparoscopic cholecystectomy very safely with minimal trauma, discomfort and short hospital stay. Rarely, it is complicated by post-operative chyle leakage in peritoneum. We present a case of spontaneous chylous ascitis after laparoscopic cholecystectomy. Probably idiopathic or caused by trauma of pneumoperitoneum, abnormal peritoneal reaction to various chemicals released during operative procedure and diathermy used during laparoscopic cholecystectomy. We discuss its review, clinical presentation, diagnosis, treatment and management of this case. Chyle leake is rare post-operative complication can be managed by simple conservative treatment.

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