A case of persistent chylous ascites after staging operation for primary fallopian tubal cancer.

Kim, Yoo Ri; Kim, Ji Eun; Cho, Hie Jin; Park, Jong Hoon

Case Report

Korean Journal of Obstetrics & Gynecology 2009;52(1):109-114.
Published online January 1, 2009.

A case of persistent chylous ascites after staging operation for primary fallopian tubal cancer.

Yoo Ri Kim, Ji Eun Kim, Hie Jin Cho, Jong Hoon Park

Department of Obstetrics and Gynecology, Wallace Memorial Baptist Hospital, Busan, Korea. huni0201@hanmail.net

Abstract

Chylous ascites is a rare complication following treatment for gynecologic malignancies. Conservative management is usually effective for the treatment of postoperative chylous ascites. If conservative management fails, surgical management should be considered. This is the first domestic case reported in which retroperitoneal lymph node dissection for primary fallopian tubal cancer resulted in persistent chylous ascites. The patient was treated with total parenteral nutrition (TPN) and a medium-chain triglyceride diet for about 8 weeks. So we present the case with a brief review of literature.

Key Words: Chylous ascites, Primary fallopian tubal cancer, Treatment of chyloperitoneum