International Journal of Urology and Nephrology

International Journal of Urology and Nephrology ISSN: 2091-1252 Vol. 3(3), pp. 078-081, March, 2015. © International Scholars Journals

Case Report

Chylous Ascites as a complication of Laparoscopic Living Donor Nephrectomy: A case report

Virginia del Rosario Rodríguez, Omar B. Halawa González, Sergio Fumero Arteaga, Cristina Gómez de Segura y Melcón, Javier Falcón Barroso, Balig F. Amir Nicolau and Jesús Monllor Gisbert

Department of Urology, Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife

E-mail: vrosrod_83@hotmail.es

Accepted 02 March, 2015

Abstract

Living donor kidney transplantation has increased the number of organs available due mainly to the introduction of laparoscopic kidney extraction. However, this has resulted in the onset of rare complications in the donor such as chylous ascites whose rate of resolution with medical management is 60- 100% with 6 weeks of parenteral feeding and fasting. To date only 22 cases of chylous ascites post-laparoscopic donor nephrectomy have been published. We present a 55 year old female patient who developed chylous ascites after left laparoscopic donor nephrectomy. She was discharged after 11 days of medical treatment based on parenteral feeding, diuretics and somatostatin analogues. Total centimetres in abdominal circumference reduction of 10 and disappearance of symptoms achieved.

Key words: chylous ascites, nephrectomy, living donor, MCTs, somatostatin.


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