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Korean Journal of Obstetrics & Gynecology 2008;51(10):1177-1180.
Published online October 1, 2008.
Chylous ascites, following radical hysterectomy with pelvic lymph node dissection in a patient with cervical cancer.
Sang Hae Park, Seung Soo Lee, Sang Hyun Shin, Doo Young Chang, Young Ah Kim, Myung Kwon Jeon
Department of Obstetrics and Gynecology, Inje University, Ilsan Paik Hospital, Goyang, Korea. dychang@paik.ac.kr
Abstract
Chylous ascites is a disorder caused by various diseases and conditions that interfere with the abdominal or retroperitoneal lymphatics. There are several gynecologic reports on chylous ascites with radiation therapy and para-aortic lymph node dissection. However, the report of chylous ascites caused by performing only pelvic lymph node dissection was extremely rare. In most cases after surgical trauma, it is resolved after dietary managements but it may be associated with serious nutritional and immunologic consequences due to the constant loss of protein and lymphocytes. The authors experienced a 42-year-old woman with cervical cancer Ib1 who presented with chylous ascites after a radical hysterectomy and bilateral pelvic lymph node dissection. She was successfully managed by fasting and low fat diet. We report this case of chylous ascites following pelvic lymph node dissection with a brief review of literature.
Key Words: Chylous ascites, Uterine cervical neoplasms, Pelvic lymph node dissection, Radical hysterectomy


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