Chylous Leakage after Endometrial Carcinoma Surgery: A Case Report.

IF 0.9 4区医学 Q3 SURGERY

Annali italiani di chirurgia Pub Date : 2025-01-01 DOI:10.62713/aic.3583

Shanshan Li, Wenwen Li, An Zhang, Chongyi Yang, Jie Liu

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引用次数: 0

Abstract

Aim: This report represents a case of chylous leakage after endometrial carcinoma surgery, providing therapeutic insights into similar cases in future.

Case presentation: This report describes a case of chylous leakage after endometrial carcinoma surgery. A 67-year-old woman with a 25-year of menopause was admitted to the hospital due to vaginal bleeding that had persisted for 5 days. She was diagnosed with high-grade serous carcinoma with partial sarcomatoid changes. Subsequently, she received surgical treatment for a malignant endometrial carcinoma, and chylous leakage occurred afterwards. A series of treatments were administered, eventually achieving satisfactory control over the patient's condition.

Results: The patient was managed with a multidisciplinary approach, including conservative measures such as bowel rest, total parenteral nutrition, and octreotide to reduce chyle production. Despite initial conservative treatment, chylous leakage persisted, leading to the decision for surgical intervention. Post-surgery, the patient showed significant improvement, with cessation of chylous drainage, and she was eventually discharged with a plan for follow-up care.

Conclusions: Chylous leakage after endometrial carcinoma surgery is a serious complication that requires timely diagnosis and comprehensive treatment. This case provides valuable therapeutic insights into treatment plans and ways to improve prognosis of patients grappling with the same condition.

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子宫内膜癌术后乳糜漏1例报告。

目的：报告一例子宫内膜癌术后乳糜漏，为今后类似病例的治疗提供参考。病例介绍：本报告报告一例子宫内膜癌术后乳糜漏。67岁妇女，绝经25年，因阴道出血持续5天入院。她被诊断为高级别浆液性癌伴部分肉瘤样改变。随后，她因恶性子宫内膜癌接受手术治疗，之后发生乳糜漏。经过一系列的治疗，最终病人的病情得到了令人满意的控制。结果：患者采用多学科方法进行治疗，包括保守措施，如肠道休息、全肠外营养和奥曲肽以减少乳糜产生。尽管最初的保守治疗，乳糜漏持续存在，导致决定手术干预。术后，患者表现出明显的改善，乳糜引流停止，最终出院，并计划随访。结论：子宫内膜癌术后乳糜漏是一种严重的并发症，需要及时诊断和综合治疗。本病例为治疗方案和改善患者预后的方法提供了有价值的治疗见解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annali italiani di chirurgia 医学-外科

CiteScore

0.90

自引率

12.50%

发文量

116

审稿时长

>12 weeks

期刊介绍： Annali Italiani di Chirurgia is a bimonthly journal and covers all aspects of surgery:elective, emergency and experimental surgery, as well as problems involving technology, teaching, organization and forensic medicine. The articles are published in Italian or English, though English is preferred because it facilitates the international diffusion of the journal (v.Guidelines for Authors and Norme per gli Autori). The articles published are divided into three main sections:editorials, original articles, and case reports and innovations.