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Case Reports in Obstetrics and Gynecology
Volume 2014 (2014), Article ID 953965, 3 pages
http://dx.doi.org/10.1155/2014/953965
Case Report

Four Cases of Chylous Ascites following Robotic Gynecologic Oncological Surgery

1Obstetrics and Gynecology Department, Umraniye Education and Research Hospital, 34766 İstanbul, Turkey
2Departments of Aegean Obstetrics and Gynecology, Training and Research Hospital, 35170 Izmir, Turkey
3Departments of Obstetrics and Gynecology, Konya Education and Research Hospital, 423030 Konya, Turkey

Received 17 November 2013; Accepted 20 January 2014; Published 4 March 2014

Academic Editors: C. S. Hsu, B. Piura, and L. Sentilhes

Copyright © 2014 Ahmet Göçmen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Chylous ascites is an uncommon form of ascites characterized by milky-appearing fluid caused by blocked or disrupted lymph flow through chyle-transporting vessels. The most common causes of chylous ascites are therapeutic interventions and trauma. In this report, we present four cases of chylous ascites following robot-assisted surgery for endometrial staging and the treatment strategies that we used. After retroperitoneal lymph node dissection, leaving a drain is very useful in diagnosing chylous ascites and observing its resolution; furthermore, the use of octreotide in conjunction with TPN appears to be an efficient treatment modality for chylous ascites and should be considered before any invasive intervention.