CHYLOUS Ascites is an unusual complication of pancreatoduodenectomy. A careful search of the literature did not yield a similar case, and therefore, this report was prepared.
Chylous Ascites is a sequela of an internal lymph fistula, usually of obstructive origin, secondary to either neoplasm or trauma in the majority. The present case is of a traumatic nature, iatrogenic in origin.
Report of a Case
A 37-year-old man, was admitted to the hospital Dec 28, 1964. On admission, the patient gave a history of severe intermittent, epigastric pain, together with severe weight loss (over 13.6 kg [30 lb]) and occasional diarrhea of several years duration. Patient denies history of jaundice or diabetes mellitus. Six months prior to admission, the patient underwent an exploratory laparotomy at which time a mass "the size of an orange" was seen in the head of the pancreas. This mass was presumed to be malignant. However, biopsy
Walker WM. Chylous Ascites Following Pancreatoduodenectomy. Arch Surg. 1967;95(4):640-642. doi:10.1001/archsurg.1967.01330160110015