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Alternative management of intractable chylous ascites following robot-assisted pancreaticoduodenectomy of Viscum album sclerotherapy: a case report

Authors
 Beom Soo Kim  ;  Youngbin Seo  ;  Chang Moo Kang 
Citation
 Korean Journal of Clinical Oncology(대한임상종양학회지), Vol.18(2) : 78-82, 2022-12 
Journal Title
Korean Journal of Clinical Oncology(대한임상종양학회지)
ISSN
 1738-8082 
Issue Date
2022-12
Keywords
Case reports ; Chylous ascites ; Pancreaticoduodenectomy ; Sclerotherapy ; Viscum album
Abstract
A patient showed signs of fever and Hemovac insertion site discharge 8 days after surgery and was admitted. Abdominal paracentesis found milky ascites with triglyceride levels of the peritoneal fluid as high as 1,603 g/mL. Diagnosed as chylous ascites, symptomatic therapy such as empirical antibodies and diuretics was administered with paracentesis before being discharged. The ascites volume increased again, and the patient was re-admitted. The patient was treated with orlistat, octreotide, total parenteral nutrition administration, ascites drainage, and diuretics. Ascites levels increased further and intraperitoneal Viscum was administered. Clear ascites was observed, and the patient was discharged. We reported a case where conventional treatment for chylous ascites that occurred after pancreaticoduodenectomy was shown to be ineffective while Viscum extracted from mistletoe was able to manage chylous ascites.
Files in This Item:
T9992022763.pdf Download
DOI
10.14216/kjco.22010
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Chang Moo(강창무) ORCID logo https://orcid.org/0000-0002-5382-4658
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/193985
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