{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T22:31:55Z","timestamp":1766269915628,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2020,12,30]],"date-time":"2020-12-30T00:00:00Z","timestamp":1609286400000},"content-version":"vor","delay-in-days":29,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Postoperative chylous ascites is a rare complication of abdominal surgery. Chyle depletion results in nutritional, immunologic and metabolic deficiencies, making it a serious and potentially life-threatening condition for which prompt diagnosis and management is imperative. A 72-year-old male was referred for open repair of a 62\u00a0cm juxtarenal abdominal aortic aneurysm (AAA). Following resumption of diet, he developed abdominal distention. Therapeutic paracenteses confirmed chylous ascites. Failed conservative management and lymphatic embolization lead to surgical sealance of lymphatic leak using glue. Postoperatively, a full diet was tolerated with no further ascites. Paracentesis is the diagnostic modality of choice in evaluating patients with ascites. Management is challenging and should be multifaceted and tailored to individual patient needs. Cornerstones of therapy include correction of the underlying etiology and conservative measures. When conservative measures fail, other interventions can be considered, such as somatostatin analogs, surgical ligation or glue embolization.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa512","type":"journal-article","created":{"date-parts":[[2020,12,12]],"date-time":"2020-12-12T06:15:56Z","timestamp":1607753756000},"source":"Crossref","is-referenced-by-count":2,"title":["Chylous ascites following elective abdominal aortic aneurysm repair"],"prefix":"10.1093","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0499-081X","authenticated-orcid":false,"given":"Sylvie","family":"Bowden","sequence":"first","affiliation":[{"name":"University of Toronto, Department of Medicine, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Firdouse","sequence":"additional","affiliation":[{"name":"University of Toronto, Department of Vascular Surgery, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graham","family":"Roche-Nagle","sequence":"additional","affiliation":[{"name":"Toronto General Hospital, Department of Vascular Surgery, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,12,30]]},"reference":[{"key":"2020123011475739400_ref1","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1016\/j.jvsv.2017.03.011","article-title":"Management of refractory chylous ascites with peritoneovenous shunts","volume":"5","author":"Huang","year":"2017","journal-title":"J. Vasc. Surg. Venous Lymphat. Disord."},{"key":"2020123011475739400_ref2","doi-asserted-by":"crossref","first-page":"69062","DOI":"10.18632\/oncotarget.17297","article-title":"A review of the postoperative lymphatic leakage","volume":"8","author":"Lv","year":"2017","journal-title":"Oncotarget."},{"key":"2020123011475739400_ref3","doi-asserted-by":"crossref","first-page":"119","DOI":"10.14797\/mdcj-12-2-119","article-title":"Chylous ascites following open abdominal aortic aneurysm repair: an unusual complication","volume":"12","author":"Galanopoulos","year":"2016","journal-title":"Methodist Debakey Cardiovasc. J."},{"key":"2020123011475739400_ref4","article-title":"Treatment options for chylous ascites after major abdominal surgery: a systematic review presented at the 35th annual meeting of the German Pancreas Club, January 22-24, 2015, Rostock, Germany","volume":"211","author":"Weniger","year":"2016","journal-title":"Am. J. 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Surg."},{"key":"2020123011475739400_ref8","doi-asserted-by":"crossref","first-page":"100","DOI":"10.2310\/6670.2008.00059","article-title":"Chylous ascites following abdominal aortic aneurysm repair","volume":"17","author":"Roche-Nagle","year":"2009","journal-title":"Vascular."},{"key":"2020123011475739400_ref9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.14218\/JCTH.2017.00035","article-title":"Chylous ascites: a review of pathogenesis, diagnosis and treatment","volume":"6","author":"Bhardwaj","year":"2018","journal-title":"J. Clin. Transl. Hepatol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/12\/rjaa512\/35281867\/rjaa512.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/12\/rjaa512\/35281867\/rjaa512.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,30]],"date-time":"2020-12-30T19:28:12Z","timestamp":1609356492000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa512\/6047563"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,1]]},"references-count":9,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2020,12,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa512","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2020,12]]},"published":{"date-parts":[[2020,12,1]]},"article-number":"rjaa512"}}