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Chyle Leak following Open Donor Nephrectomy: A Rare Complication-A Case Report.

Harkar S, Singh DV, Gupta SK, Talwar R, Rana YP - Case Rep Transplant (2012)

Bottom Line: The drain was removed, and the patients remained symptom-free on followup.Conclusions.The management options and the experience of other centers are reviewed and discussed.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Army Hospital Research & Referral, Delhi Cantt, New Delhi 110012, India.

ABSTRACT
Introduction. Donor workup in renal transplantation is extensive. Despite this, chyle leakage following donor nephrectomy, a rare complication, has been reported in the literature. We encountered two cases of chyle leak in kidney donors in our series of open donor nephrectomies. Summary of Cases. After complete workup, standard open retroperitoneal donor nephrectomy with drain placement was performed in 684 living renal donors. We encountered chyle leak in two cases. The first case was a 33-year-old female who underwent an otherwise uneventful left donor nephrectomy but continued to have high drain output (upto 300-400 mL/24 hrs) in the postoperative period. The drain fluid was milky, raising the suspicion of chyle which was confirmed on biochemical analysis. The second case was a 42-year-old female with a similar case history. Both were managed conservatively with low-fat diet. The leak subsided spontaneously in three weeks and one week in the first and second patients, respectively. The drain was removed, and the patients remained symptom-free on followup. Conclusions. Both of our cases of chyle leak following open donor nephrectomy were managed successfully with conservative management. The management options and the experience of other centers are reviewed and discussed.

No MeSH data available.


Related in: MedlinePlus

Case number 2 with retroperitoneal drain in situ.
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Related In: Results  -  Collection


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fig3: Case number 2 with retroperitoneal drain in situ.

Mentions: A 42-year-old female was with a similar case history as the first case. She also had undergone left open donor nephrectomy with an uneventful intraoperative period. She had milky fluid in drain after start of oral diet (max output: (200/day)). This patient was also managed conservatively with dietary management. Leak gradually subsided spontaneously in 7 days (Figure 3).


Chyle Leak following Open Donor Nephrectomy: A Rare Complication-A Case Report.

Harkar S, Singh DV, Gupta SK, Talwar R, Rana YP - Case Rep Transplant (2012)

Case number 2 with retroperitoneal drain in situ.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3539371&req=5

fig3: Case number 2 with retroperitoneal drain in situ.
Mentions: A 42-year-old female was with a similar case history as the first case. She also had undergone left open donor nephrectomy with an uneventful intraoperative period. She had milky fluid in drain after start of oral diet (max output: (200/day)). This patient was also managed conservatively with dietary management. Leak gradually subsided spontaneously in 7 days (Figure 3).

Bottom Line: The drain was removed, and the patients remained symptom-free on followup.Conclusions.The management options and the experience of other centers are reviewed and discussed.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Army Hospital Research & Referral, Delhi Cantt, New Delhi 110012, India.

ABSTRACT
Introduction. Donor workup in renal transplantation is extensive. Despite this, chyle leakage following donor nephrectomy, a rare complication, has been reported in the literature. We encountered two cases of chyle leak in kidney donors in our series of open donor nephrectomies. Summary of Cases. After complete workup, standard open retroperitoneal donor nephrectomy with drain placement was performed in 684 living renal donors. We encountered chyle leak in two cases. The first case was a 33-year-old female who underwent an otherwise uneventful left donor nephrectomy but continued to have high drain output (upto 300-400 mL/24 hrs) in the postoperative period. The drain fluid was milky, raising the suspicion of chyle which was confirmed on biochemical analysis. The second case was a 42-year-old female with a similar case history. Both were managed conservatively with low-fat diet. The leak subsided spontaneously in three weeks and one week in the first and second patients, respectively. The drain was removed, and the patients remained symptom-free on followup. Conclusions. Both of our cases of chyle leak following open donor nephrectomy were managed successfully with conservative management. The management options and the experience of other centers are reviewed and discussed.

No MeSH data available.


Related in: MedlinePlus