{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:33Z","timestamp":1756339533500,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,12,10]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Chyle leak is a rare complication following nephrectomy and may result in chylous ascites. A patient in her 70s was diagnosed with a left renal tumour and underwent a robotic-assisted radical nephrectomy. She presented 9\u2009days post discharge with chyle leaking from the left port site wound, which settled after 2\u2009days of inpatient monitoring. 17 days later, she re-presented with significant abdominal distension and was diagnosed with large-volume chylous ascites. An abdominal drain was inserted, and she was started on 50\u00b5g octreotide two times per day and discharged. She was then readmitted 7\u2009days later with dizziness, hyponatraemia and significant weight loss, and treated with total parenteral nutrition for 29 days. Her drain output declined gradually, and the ascites did not reaccumulate after it was eventually removed. This case highlights a rare instance of large-volume chylous ascites following robotic-assisted radical nephrectomy, and how it may be successfully treated using conservative methods.<\/jats:p>","DOI":"10.1136\/bcr-2024-261972","type":"journal-article","created":{"date-parts":[[2025,1,19]],"date-time":"2025-01-19T20:50:23Z","timestamp":1737319823000},"page":"e261972","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Conservative management of large-volume chylous ascites following a robotic-assisted left radical nephrectomy"],"prefix":"10.1136","volume":"18","author":[{"given":"Charles","family":"Carey","sequence":"first","affiliation":[{"name":"Urology, East Sussex Healthcare NHS Trust, Eastbourne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Freya","family":"Harding","sequence":"additional","affiliation":[{"name":"Urology, East Sussex Healthcare NHS Trust, Eastbourne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl","family":"Spiteri","sequence":"additional","affiliation":[{"name":"Urology, East Sussex Healthcare NHS Trust, Eastbourne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed Kamil","family":"Quraishi","sequence":"additional","affiliation":[{"name":"Urology, East Sussex Healthcare NHS Trust, Eastbourne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,1,19]]},"reference":[{"key":"2025082709005420000_18.1.e261972.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2016.06.058"},{"key":"2025082709005420000_18.1.e261972.2","doi-asserted-by":"crossref","unstructured":"Mehrotra R , Kathuria P . 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Conservative management of chylous leak after open radical nephrectomy in an adult patient: a case report and literature review. 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