A case of severe retroperitoneal chyle leakage and subsequent chylothorax secondary to partial laparoscopic nephrectomy

Retroperitoneal chyle leakage combined with chylothorax after nephrectomy is rare in clinical practice. We report a 41-year-old female who developed severe chyloretroperitoneum along with subsequent chylothorax after partial nephrectomy. The patient underwent nutritional control, received octreotide...

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Bibliographic Details
Main Authors: Lu Ping, Chuhan Wang, Haoran Huang, Runmeng Cui, Jian Cao, Jie Dong
Format: Article
Language:English
Published: Elsevier 2025-05-01
Series:Urology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214442025001081
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Summary:Retroperitoneal chyle leakage combined with chylothorax after nephrectomy is rare in clinical practice. We report a 41-year-old female who developed severe chyloretroperitoneum along with subsequent chylothorax after partial nephrectomy. The patient underwent nutritional control, received octreotide treatment and had a complete recovery after 58 days. A damage to the cisterna chylic could account for the leakage. The chylothorax was a displacement through the diaphragmatic hiatus. Comprehensive review showed that near 30 % of such patients would require re-surgery or interventional treatment. The current case stresses the importance of careful examination, timely diagnostic test and appropriate treatment of abnormal drainage after nephrectomy.
ISSN:2214-4420