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Ascitis quilosa tras nefrectomía radical y linfadenectomía retroperitoneal
Chylous ascites following radical nephrectomy and retroperitoneal lymphadenectomy
Andrés Rodríguez Alonso1,a, Alfonso González Blancoa, Alfonso Barbagelata Lópeza, Carlos Bonelli Martína, María Fernández López*,a, Miguel A. Cuerpo Péreza
* Servicio de Análisis Clínicos. Hospital Arquitecto Marcide – Profesor Novoa Santos. Ferrol, La Coruña, España
a Servicio de Urología. Servicio de Análisis Clínicos. Hospital Arquitecto Marcide – Profesor Novoa Santos. Ferrol, La Coruña, España
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La ascitis quilosa consiste en el ac&#250;mulo de quilo en la cavidad abdominal&#46; Su presentaci&#243;n postquir&#250;rgica ocurre a consecuencia de una lesi&#243;n inadvertida de la cisterna del quilo o una de sus principales aferentes lumbares&#46; Se presenta habitualmente como un cuadro de distensi&#243;n y dolor abdominales&#44; o bien como salida de l&#237;quido lechoso a trav&#233;s de la herida quir&#250;rgica o del drenaje abdominal&#46; El diagn&#243;stico se establece mediante an&#225;lisis citoqu&#237;mico del l&#237;quido y tinci&#243;n con Sud&#225;n III&#44; que muestra gotas de grasa &#40;quilomicrones&#41;&#44; leucocitos con predominio de linfocitos y una elevada concentraci&#243;n de triglic&#233;ridos&#46; Presentamos un caso de ascitis quilosa postquir&#250;rgica&#44; tras nefrectom&#237;a radical y linfadenectom&#237;a retroperitoneal por c&#225;ncer de ri&#241;&#243;n&#44; que se resolvi&#243; satisfactoriamente con medidas conservadoras&#58; nutrici&#243;n parenteral total y octre&#243;tide&#46;</p>"
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ISSN: 02104806
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