• 作者：Carla Senosiain Lalastra ; Javier Mart¨ªnez Gonz¨¢lez ; Francisco Mesonero Gismero ; V¨ªctor Moreira Vicente
• 关键词：Ascitis ; Ascitis quilosa ; Octreó ; tida
• 刊名：Gastroenterolog¨ªa y Hepatolog¨ªa
• 出版年：2012
• 出版时间：October, 2012
• 年：2012
• 卷：35
• 期：8
• 页码：567-571
• 全文大小：171 K

Chylous ascites is infequent after abdominal surgery. We describe the case of a 43-year-old man with portal cavernomatosis who underwent surgery to insert a splenorenal shunt, which was not placed due to the absence of signs of portal hypertension. On postoperative day 20, the patient developed abdominal distension and mild dyspnea and was diagnosed with chylous ascites, which was related to the surgery. The patient was initially treated with diet and diuretics, with no clinical response, and consequently octreotide therapy was started. Four days later, the ascites was almost resolved and an ultrasound scan at 4 months showed its complete disappearance. This article demonstrates the effectiveness of octreotide in the treatment of postsurgical chylous ascites.