[Post-hysterectomy chyloascites: A rare complication].

Abstract

Chyloascites is the presence of milky peritoneal fluid rich in triglycerides of lymphatic origin. The most common causes include postoperative lymphatic injury, lymphatic or solid neoplasia, and cirrhosis. The occurrence of chyloascites after hysterectomy is very rare. The pathophysiological mechanisms that cause lymph accumulation include obstruction of lymphatic flow due to neoplastic origin or thoracic duct injuries acquired through trauma or surgical procedures. We present the case of a 32-year-old woman with a history of cervical adenocarcinoma, treated surgically, who presented with abdominal distension. The diagnosis was chyloascites, confirmed by paracentesis. She received treatment with octotride with clinical improvement and favorable outcome.