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post cholecystectomy ascites

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His medical history included diagnosis of Sandifer syndrome, scoliosis requiring 3 spinal surgeries, microgastria, and hiatal hernia repair, and most recently, laparoscopic cholecystectomy (7 weeks prior). 6 It was suggested to occur as a result of peritoneal irritation caused by spillage of endometriotic cyst contents. There are to our knowledge only 3 reported cases in the literature. postoperative chylous ascites, or retroperitoneal lymph node dissection where there is significant injury to the cisterna chyli [5, 6]. Cholecystectomy results in loss of the absorptive and pressure-regulating function of the gallbladder and the fasting reservoir where bile is concentrated. It has never been reported after laparoscopic cholecystectomy. Surgeons must watch for the clinical manifestations of bile ascites after laparoscopic cholecystectomy. Chylous ascites is a rare complication after many abdominal procedures. Many factors were regarded as cause of persistence of symptoms. Spontaneous chylous ascites after laparoscopic cholecystectomy: a case report Arpit Bansal1, Ashwani Kumar Bansal1*, Vandana Bansal2, Mamta Singh3 Dr. INTRODUCTION Chylous ascitis refers to collection of milky creamy fluid rich in triglyceride content above200 mg/dL and rich in small lymphocytes in peritoneal cavity.1,2 A 32-year-old man presented with severe abdominal pain and ascites. It has never been reported after laparoscopic cholecystectomy. Rationale: Gallstone disease is commonly worldwide and safely treated by laparoscopic cholecystectomy.Chylous ascites is a rare but serious complication of many abdominal operations. Post Cholecystectomy Syndrome. Context Chylous ascites a rare complication post cholecystectomy. Postoperative massive ascites, occasionally with pleural and pericardial effusion, was reported after laparoscopic treatment of pelvic endometriosis as either a short- or long-term complication. These collections typically occur in the right or the left supramesocolic spaces. Pancreatic Ascites Amylase concentration in ascites several fold greater than serum was consistent with a pancreatic leak. We describe a 31-year-old female who presented 2 weeks postoperatively after laparoscopic cholecystectomy with abdominal distention and pain. Persistence of symptoms following cholecystectomy continues to be studied extensively. Chylous ascites is a rare complication after many abdominal procedures. We describe a case of chylous ascites post open cholecystectomy in a patient with recent severe pancreatitis. This diagnosis should be suspected whenever persistent bloating and anorexia last for more than a few days; failure to recover as smoothly as expected is the most common early symptom of bile ascites. Bile Ascites . Read the Clinical Chemistry Journal's July 2017 Clinical Case Study and student discussion. Patients with ascites underwent cholecystectomy less often than patients without ascites (21% vs 39%; P = .002). The differential diagnosis included pancreatic ascites, chylous ascites, and a bile leak. We describe a 31-year-old female who presented 2 weeks postoperatively after laparoscopic cholecystectomy with abdominal distention and pain. In cholecystectomy it is uncertain what degree of injury has occurred for the development of chylous ascites. In the present case, the patient developed pancreatic ascites likely due to trauma to the pancreatic duct during laparoscopic cholecystectomy. We describe the diagnosis and management of chylous ascites post cholecystectomy. We propose a potential relationship between acute biliary pancreatitis and the development of chylous ascites. Bile ascites can develop after trauma, cholecystectomy, biliary tract surgery, hepatic surgery, liver biopsy, and percutaneous biliary drainage. 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