{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:41:55Z","timestamp":1787071315304,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Chylous ascites is an uncommon complication seen in gynecological malignancies. The incidence of postoperative chylous ascites in gynecological malignancies is 0.17%. It is the extravasation of milky chyle into the peritoneal cavity due to lymphatic obstruction or injury and is diagnosed by the detection of triglyceride levels greater than 200 mg\/dl in ascitic fluid. The site of leakage can be determined by lymphangiography or lymphoscintigraphy. The majority of the cases of chylous ascites can be treated by conservative methods, such as a dietary modification to a low-fat high-protein diet, bowel rest, total parenteral nutrition, medications, and large-volume paracentesis. If these measures fail, surgical modalities such as laparotomy or peritoneovenous shunting are employed. In our case, the patient was successfully managed on dietary modification alone. This case report emphasizes the importance of conservative management for chylous ascites following surgery and radiotherapy in endometrial carcinoma.<\/jats:p>","DOI":"10.4103\/ijc.ijc_503_21","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T00:00:31Z","timestamp":1750982431000},"page":"153-155","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Rare complication of chylous ascites following surgery and radiotherapy in endometrial carcinoma managed by diet modification: Case report"],"prefix":"10.4103","volume":"62","author":[{"given":"Rujuta N.","family":"Hantodkar","sequence":"first","affiliation":[{"name":"Department of Gynaecological Oncology, Gujarat Cancer and Research Institute, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bijal","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Gynaecological Oncology, Gujarat Cancer and Research Institute, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pariseema S.","family":"Dave","sequence":"additional","affiliation":[{"name":"Department of Gynaecological Oncology, Gujarat Cancer and Research Institute, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Palkhiwala","sequence":"additional","affiliation":[{"name":"Department of Gynaecological Oncology, Gujarat Cancer and Research Institute, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,5,16]]},"reference":[{"key":"R1-20250627","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1757-1626-2-9393","article-title":"Post radiation chylous ascites: A case report","volume":"2","author":"Shelat","year":"2009","journal-title":"Cases J"},{"key":"R2-20250627","doi-asserted-by":"crossref","DOI":"10.1155\/2020\/7641476","article-title":"Two cases of atraumatic chylous ascites characterized by hypotriglyceridemia and partially managed with an oral fat-free elemental diet","author":"Kamigaki","year":"2020","journal-title":"Case Rep Gastrointest Med 2020"},{"key":"R3-20250627","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1016\/j.jamcollsurg.2011.01.010","article-title":"Atraumatic chylous ascites: Systematic review on symptoms and causes","volume":"212","author":"Steinemann","year":"2011","journal-title":"J Am Coll Surg"},{"key":"R4-20250627","article-title":"Four cases of chylous ascites following robotic gynecologic oncological surgery","author":"G\u00f6\u00e7men","year":"2014","journal-title":"Case Rep Obstet Gynecol 2014"},{"key":"R5-20250627","doi-asserted-by":"crossref","DOI":"10.1155\/2014\/240473","article-title":"Chylous ascites: Evaluation and management","author":"Al-Busafi","year":"2014","journal-title":"ISRN Hepatol 2014"},{"key":"R6-20250627","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1007\/s00404-009-1211-0","article-title":"Chylous ascites in gynecologic malignancies: Cases report and literature review","volume":"281","author":"Baiocchi","year":"2010","journal-title":"Arch Gynecol Obstet"},{"key":"R7-20250627","first-page":"514","article-title":"Late onset of chylous ascites following distal gastrectomy with D1(+) dissection for gastric cancer: A case report","volume":"42","author":"\u00c7iyiltepe","year":"2015","journal-title":"Dicle Med J\/Dicle Tip Derg"}],"container-title":["Indian Journal of Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijc.ijc_503_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:44:31Z","timestamp":1787067871000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijc.ijc_503_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijc.ijc_503_21","relation":{},"ISSN":["0019-509X","1998-4774"],"issn-type":[{"value":"0019-509X","type":"print"},{"value":"1998-4774","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2021-05-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}