Chylous Ascites Following Aortic Reconstruction

Abstract

Limited retroperitoneal and peritoneal lymph accumulations are undoubtedly common following abdominal aortic reconstruction. However, intractable and symptomatic chylous ascites is a fortunately uncommon occurrence in this setting, though probably not as rare as suggested by the presence of only six cases in the world literature. 1—6 A case of intractable chylous ascites following aorto-femoral reconstruction is presented with a review of the previous six cases in order to clarify the clinical presentation, course, and management aspects of post-operative chylous ascites, specifically in vascular patients with a synthetic graft in place.