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Revista Cubana de Cirugía

On-line version ISSN 1561-2945

Abstract

CASTILLO FRANCO, Fausto; MARIN RIOS, Daniel Felipe; LINARES TOVAR, Flavia  and  OSORIO PELAEZ, Abraham. Post-trauma Chylous Ascites Treated with Total Parenteral Nutrition and Octreotide. Rev Cubana Cir [online]. 2018, vol.57, n.3 ISSN 1561-2945.

Chylous ascites is the accumulation of lipid-rich lymph in the peritoneal cavity due to rupture or obstruction of the abdominal lymph ducts. Although it is rare, greater probability is described for its onset after abdominal traumas. The case is presented of a 46-year-old male patient who suffers from a thorax-abdomen knife wound and therefore required emergency surgical treatment. After several surgeries, the presence of whitish abdominal liquid was detected, with elevated triglycerides. Chylous ascites was confirmed, which was reabsorbed in 45 days with parenteral nutrition and octreotide.

Keywords : chylous ascites; total parenteral nutrition; octreotide.

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