Chylous ascites after laparoscopic donor nephrectomy: First case report in Turkey

Author:

Şahin Selçuk1ORCID,Özdemir Osman1ORCID,Evren İsmail1ORCID,Karadağ Serdar1ORCID,Tuğcu Volkan2ORCID,Taşçı Ali ihsan1ORCID

Affiliation:

1. Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Istanbul, Turkey

2. Memorial Bahcelievler Hospital, Department of Urology, Istanbul, Turkey

Abstract

Living-donor kidney transplantation is one of the treatment options of end-stage renal failure. In many transplant centers, laparoscopic live-donor transplantation is recognised as the standard pro- cedure. Chylous ascites (CA) is a very rare complication after laparoscopic donor nephrectomy (LDN). We aimed to present the management of the first case report in Turkey. 62-year-old male patient underwent laparoscopic transperitoneal left donor nephrectomy. One month after discharge, he was admitted with abdominal distention and imaging revealed diffuse free fluid in the abdomen. After diagnosis, milky colored chylous fluid was collected by inserting a percutenous drainage cathe- ter. The patient was treated with combination of percutaneous drainage, somatostatin analogue and total parenteral nutrition. Keywords: chylous ascites; laparoscopic donor nephrectomy; complication

Publisher

Avrasya Uroonkoloji Dernegi

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