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Official publication of the Indian Society of Nephrology
 
CASE REPORT
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Chylous ascites after laparoscopic donor nephrectomy: Case report


 Department of Nephrology, Sir Ganga Ram Hospital, New Delhi, India

Correspondence Address:
Vaibhav Tiwari,
Department of Nephrology, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi - 110 060
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijn.IJN_391_20

Chylous ascites refers to the accumulation of chyle in the abdominal cavity. Postoperative chylous ascites is most commonly associated with abdominal aortic surgeries. However, it is a rare complication following laparoscopic nephrectomy. It causes loss of fat, protein, and antibodies causing malnutrition and immunodeficiency. Thus, it is important to treat it as early as possible. We hereby report a case of chylous ascites following laparoscopic donor nephrectomy. A 55-year-old female was admitted at our center 2 weeks after undergoing left laparoscopic donor nephrectomy with abdominal distension and constipation. USG abdomen revealed free fluid in the abdomen. Paracentesis revealed chylous ascites. The patient was started on conservative treatment, including a diet rich in proteins and low in fats; conservative treatment, however, was unsuccessful. Lymphangiography and subsequent embolization of the defect were done, and she made a full recovery.


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    -  Bhandari G
    -  Tiwari V
    -  Gupta A
    -  Bhargava V
    -  Malik M
    -  Gupta A
    -  Bhalla AK
    -  Rana D S
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Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07