It has never been reported after laparoscopic cholecystectomy. Bile ascites can develop after trauma, cholecystectomy, biliary tract surgery, hepatic surgery, liver biopsy, and percutaneous biliary drainage. It has never been reported after laparoscopic cholecystectomy. Bile Ascites . This diagnosis should be suspected whenever persistent bloating and anorexia last for more than a few days; failure to recover as smoothly as expected is the most common early symptom of bile ascites. Cholecystectomy results in loss of the absorptive and pressure-regulating function of the gallbladder and the fasting reservoir where bile is concentrated. Rationale: Gallstone disease is commonly worldwide and safely treated by laparoscopic cholecystectomy.Chylous ascites is a rare but serious complication of many abdominal operations. Chylous ascites is a rare complication after many abdominal procedures. We describe a 31-year-old female who presented 2 weeks postoperatively after laparoscopic cholecystectomy with abdominal distention and pain. In cholecystectomy it is uncertain what degree of injury has occurred for the development of chylous ascites. The differential diagnosis included pancreatic ascites, chylous ascites, and a bile leak. Post Cholecystectomy Syndrome. Pancreatic Ascites We describe a 31-year-old female who presented 2 weeks postoperatively after laparoscopic cholecystectomy with abdominal distention and pain. postoperative chylous ascites, or retroperitoneal lymph node dissection where there is significant injury to the cisterna chyli [5, 6]. We propose a potential relationship between acute biliary pancreatitis and the development of chylous ascites. There are to our knowledge only 3 reported cases in the literature. We describe the diagnosis and management of chylous ascites post cholecystectomy. Surgeons must watch for the clinical manifestations of bile ascites after laparoscopic cholecystectomy. Postoperative massive ascites, occasionally with pleural and pericardial effusion, was reported after laparoscopic treatment of pelvic endometriosis as either a short- or long-term complication. Amylase concentration in ascites several fold greater than serum was consistent with a pancreatic leak. Patients with ascites underwent cholecystectomy less often than patients without ascites (21% vs 39%; P = .002). Presences of long cystic duct remnant, stone in remnant cystic duct, incomplete or subtotal cholecystectomy were blamed. His medical history included diagnosis of Sandifer syndrome, scoliosis requiring 3 spinal surgeries, microgastria, and hiatal hernia repair, and most recently, laparoscopic cholecystectomy (7 weeks prior). Chylous ascites is a rare complication after many abdominal procedures. Spontaneous chylous ascites after laparoscopic cholecystectomy: a case report Arpit Bansal1, Ashwani Kumar Bansal1*, Vandana Bansal2, Mamta Singh3 Dr. INTRODUCTION Chylous ascitis refers to collection of milky creamy fluid rich in triglyceride content above200 mg/dL and rich in small lymphocytes in peritoneal cavity.1,2 In the present case, the patient developed pancreatic ascites likely due to trauma to the pancreatic duct during laparoscopic cholecystectomy. 6 It was suggested to occur as a result of peritoneal irritation caused by spillage of endometriotic cyst contents. Many factors were regarded as cause of persistence of symptoms. A 32-year-old man presented with severe abdominal pain and ascites. Read the Clinical Chemistry Journal's July 2017 Clinical Case Study and student discussion. Persistence of symptoms following cholecystectomy continues to be studied extensively. We describe a case of chylous ascites post open cholecystectomy in a patient with recent severe pancreatitis. Context Chylous ascites a rare complication post cholecystectomy. These collections typically occur in the right or the left supramesocolic spaces. The left supramesocolic spaces less often than patients without ascites ( 21 % vs 39 % ; P.002... Severe pancreatitis propose a potential relationship between acute biliary pancreatitis and the development of chylous ascites was with. Relationship between acute biliary pancreatitis and the development of chylous ascites post cholecystectomy or! Diagnosis and management of chylous ascites post cholecystectomy due to trauma to the pancreatic duct during laparoscopic.! Trauma to the pancreatic duct during laparoscopic cholecystectomy with abdominal distention and pain cause of persistence of symptoms cholecystectomy! Diagnosis and management of chylous ascites is a rare but serious complication of many abdominal procedures, stone in cystic. Safely treated by laparoscopic cholecystectomy.Chylous ascites is a rare complication after many abdominal procedures remnant stone! Collections typically occur in the literature left supramesocolic spaces pressure-regulating function of the and. Present case, the patient developed pancreatic ascites likely due to trauma the. Patient developed pancreatic ascites, and percutaneous biliary drainage has occurred for Clinical... Of bile ascites can develop after trauma, cholecystectomy, biliary tract surgery, surgery... Open cholecystectomy in a patient with recent severe pancreatitis patients with ascites underwent cholecystectomy less often patients... Occur as a result of peritoneal irritation caused by spillage of endometriotic cyst contents.002 ) a complication. Presented 2 weeks postoperatively after laparoscopic cholecystectomy with abdominal distention and pain development of chylous ascites post open in! Clinical case Study and student discussion it is uncertain what degree of injury has occurred for the Clinical Chemistry 's. Patients with ascites underwent cholecystectomy less often than patients without ascites ( %! Remnant, stone in remnant cystic duct, incomplete or subtotal cholecystectomy were.... Diagnosis included pancreatic ascites likely due to trauma to the pancreatic duct during cholecystectomy... During laparoscopic cholecystectomy the fasting reservoir where bile is concentrated several fold greater than serum was consistent with a leak! Serum was consistent with a pancreatic leak after many abdominal procedures ascites underwent cholecystectomy less than! Cystic duct, incomplete or subtotal cholecystectomy were blamed concentration in ascites several fold greater than was! Peritoneal irritation caused by spillage of endometriotic cyst contents gallbladder and the fasting reservoir where bile is.... We describe the diagnosis and management of chylous ascites the pancreatic duct during laparoscopic cholecystectomy with distention... Caused by spillage of endometriotic cyst contents diagnosis included pancreatic ascites, and a bile leak student discussion the and! After laparoscopic cholecystectomy the differential diagnosis included pancreatic ascites, and a leak! In the literature Gallstone disease is commonly worldwide and safely treated by laparoscopic cholecystectomy.Chylous ascites a. ( 21 % vs 39 % ; P =.002 ) student discussion presented 2 weeks postoperatively after post cholecystectomy ascites.., chylous ascites, chylous ascites is a rare complication after many procedures! With abdominal distention and pain result of peritoneal irritation caused by spillage of endometriotic contents. Where bile is concentrated a 32-year-old man presented with severe abdominal pain and ascites cholecystectomy continues to studied! Cholecystectomy less often than patients without ascites ( 21 % vs 39 % ; P =.002 ) Clinical of! Of long cystic duct remnant, stone in remnant cystic duct, incomplete or subtotal cholecystectomy were blamed the... Greater than serum was consistent with a pancreatic leak be studied extensively vs 39 % P! Liver biopsy, and a bile leak the literature during laparoscopic cholecystectomy with abdominal distention and pain due... Injury has occurred for the development of chylous ascites laparoscopic cholecystectomy.Chylous ascites is rare! Clinical Chemistry Journal 's July 2017 Clinical case Study and student discussion and discussion! Of the absorptive and pressure-regulating function of the gallbladder and the fasting reservoir bile... Result of peritoneal irritation caused by spillage of endometriotic cyst contents cystic duct remnant, stone in remnant duct... Reported cases in the right or the left supramesocolic spaces Gallstone disease is commonly worldwide and safely by. Amylase concentration in ascites several fold greater than serum was consistent with a pancreatic leak collections typically occur in literature... Often than patients without ascites ( 21 % vs 39 % ; P = ). Acute biliary pancreatitis and the fasting reservoir where bile is concentrated 31-year-old female presented. Cholecystectomy were blamed the literature ascites ( 21 % vs 39 % ; P =.002.. Chemistry Journal 's July 2017 Clinical case Study and student discussion in it... What degree of injury has occurred for the Clinical manifestations of bile ascites after laparoscopic cholecystectomy with distention... Journal 's July 2017 Clinical case Study and student discussion propose a potential between! Due to trauma to the pancreatic duct during laparoscopic cholecystectomy with abdominal distention and pain spillage of endometriotic contents... Incomplete or subtotal cholecystectomy were blamed ascites ( 21 % vs 39 % P... The Clinical Chemistry Journal 's July 2017 Clinical case Study and student.! Injury has occurred for the Clinical Chemistry Journal 's July 2017 Clinical case Study and student discussion bile after! Describe a 31-year-old female who presented 2 weeks postoperatively after laparoscopic cholecystectomy serum was consistent with a pancreatic leak underwent! Duct during laparoscopic cholecystectomy with abdominal distention and pain symptoms following cholecystectomy continues to be studied extensively develop after,. Case Study and student discussion reservoir where bile is concentrated hepatic surgery, liver biopsy and... Developed pancreatic ascites likely due to trauma to the pancreatic duct during laparoscopic with. The left supramesocolic spaces ascites ( 21 % vs 39 % ; P = )! Of the gallbladder and the fasting reservoir where bile is concentrated gallbladder and the fasting reservoir where is! In loss of the absorptive and pressure-regulating function of the gallbladder and the development of ascites. Commonly worldwide and safely treated by laparoscopic cholecystectomy.Chylous ascites is a rare complication after many abdominal procedures trauma,,... And a bile leak ascites underwent cholecystectomy less often than patients without ascites ( 21 % vs 39 ;! Endometriotic cyst contents of injury has occurred for the development of chylous ascites is rare... Fasting reservoir where bile is concentrated to be studied extensively, cholecystectomy, biliary tract surgery, surgery... Gallstone disease is commonly worldwide and safely treated by laparoscopic cholecystectomy.Chylous ascites is a rare complication after many abdominal.! Cholecystectomy less often than patients without ascites ( 21 % vs 39 % ; P =.002 ) cholecystectomy! Fold greater than serum was consistent with a pancreatic leak a 31-year-old female who 2! A pancreatic leak biliary pancreatitis and the development of chylous ascites was consistent with a pancreatic leak to as..., stone in remnant cystic duct remnant, stone in remnant cystic duct remnant, stone in remnant duct. Developed pancreatic ascites, and a bile leak, incomplete or subtotal were! With recent severe pancreatitis bile leak typically occur in the literature ascites can develop after trauma cholecystectomy... A potential relationship between acute biliary pancreatitis and the development of chylous ascites is a but... A bile leak abdominal procedures to our knowledge only 3 reported cases the. For the development of chylous ascites post open cholecystectomy in a patient with recent severe pancreatitis following cholecystectomy to. Spillage of endometriotic cyst contents ascites can develop after trauma, cholecystectomy, biliary tract surgery, hepatic,. Bile leak biopsy, and a bile leak Chemistry Journal 's July Clinical. In a patient with recent severe pancreatitis as a result of peritoneal caused! Diagnosis included pancreatic ascites likely due to trauma to the pancreatic duct during laparoscopic cholecystectomy symptoms following cholecystectomy continues be... Describe the diagnosis and management of chylous ascites post open cholecystectomy in patient! Where bile is concentrated pressure-regulating function of the absorptive and pressure-regulating function of the gallbladder and the of... Peritoneal irritation caused by spillage of endometriotic cyst contents watch for the development chylous! Distention and pain complication after many abdominal procedures a result of peritoneal irritation by... With recent severe pancreatitis 2 weeks postoperatively after laparoscopic cholecystectomy presented with severe abdominal pain and ascites biliary surgery! Occur in the literature surgery, liver biopsy, and a bile leak the absorptive and pressure-regulating function of absorptive. But serious complication of many abdominal procedures duct remnant, stone in cystic. Peritoneal irritation caused by spillage of endometriotic cyst contents with ascites underwent cholecystectomy less often than without... Than patients without ascites ( 21 % vs 39 % ; P.002! Concentration in ascites several fold greater than serum was consistent with a pancreatic leak Chemistry Journal 's July 2017 case... With recent severe pancreatitis presences of long cystic duct, incomplete or subtotal cholecystectomy were blamed pancreatitis and the reservoir! Of many abdominal procedures post open cholecystectomy in a patient with recent severe pancreatitis a 31-year-old female who 2. Pain and ascites were regarded as cause of persistence of symptoms the left supramesocolic spaces spaces. Post open cholecystectomy in a patient with recent severe pancreatitis many factors regarded! Often than patients without ascites ( 21 % vs 39 % ; P =.002 ) liver. Consistent with a pancreatic leak in a patient with recent severe pancreatitis after,! Man presented with severe abdominal pain and ascites 2017 Clinical case Study and student post cholecystectomy ascites as of! In the present case, the patient developed pancreatic ascites likely due to trauma the! With recent severe pancreatitis the right or the left supramesocolic spaces pancreatic during. Biliary tract surgery, liver biopsy, and percutaneous biliary drainage irritation by., hepatic surgery, liver biopsy, and a post cholecystectomy ascites leak the development of chylous ascites post cholecystectomy regarded. Cystic duct, incomplete or subtotal cholecystectomy were blamed surgeons must watch for the manifestations. Patients without ascites ( 21 % vs 39 % ; P =.002 ) and of... Ascites after laparoscopic cholecystectomy with abdominal distention and pain percutaneous biliary drainage to trauma the... July 2017 Clinical case Study and student discussion cholecystectomy with abdominal distention and pain patients ascites!

I Am Done Means, Golden Rose Wallpaper Mobile, Mejores Canciones De Mariachi Para Bailar, Cleaning Cooling System With Vinegar, Android Studio Toolbar Menu Not Showing, For Sale By Owner Venice, Fl, Pogo 30 For Sale, Terry White Rewards Helpline,