Abdominal Aortic Aneurysm Research Today is a free monthly online journal that collates and summarizes the latest research about Abdominal Aortic Aneurysm, including details on aaa (abdominal aortic aneurism), cardiac disease, treatment, symptoms, surgery.

Retroperitoneal laparoscopic management of a lymphocele after abdominal aortic surgery: a case report.

Uchinami M, Morioka K, Doi K, Nakamura T, Yoshida M, Tanaka K

Second Department of Surgery, Faculty of Medical Sciences, University of Fukui, Japan. uchinami@fmsrsa.fukui-med.ac.jp

A retroperitoneal lymphocele is a rare complication of abdominal aortic surgery. We present a case of 77-year-old man who developed a retroperitoneal lymphocele 14 days after undergoing graft replacement for an abdominal aortic aneurysm. Paracentesis showed a white and turbid fluid that was determined to be chyle. Conservative therapy, including percutaneous drainage, fasting, and total parenteral nutrition, was unsuccessful. Retroperitoneal laparoscopic ligation of the leaking lymphatics was performed on postoperative day 33. The postoperative course was satisfactory. The laparoscopic approach to retroperitoneal lymphocele treatment after abdominal aortic repair is a safe and minimally invasive therapeutic method.

Published 20 September 2005 in J Vasc Surg, 42(3): 552-5.
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