Chylous Ascites after Abdominal Aortic Aneurysm Repair

  • Ohki Shinichi
    Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan
  • Kurumisawa Soki
    Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan
  • Misawa Yoshio
    Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan

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A 73-year-old man was transferred for treatment of abdominal aortic aneurysm. He had no history of abdominal surgeries. Grafting between the infra-renal abdominal aorta and the bilateral common iliac arteries was performed. Proximal and distal cross clamps were applied for grafting. He developed chylous ascites on the 5th post-operative day, 2 days after initiation of oral intake. Fortunately, he responded to treatment with total parenteral hyper-alimentation for 10 days, followed by a low-fat diet. There was no recurrence of ascites.

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