篇名 | Chylous Ascites after a Bilateral Nephrectomy in a Diabetic Patient: Case Report |
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卷期 | 9:3 |
並列篇名 | 一位糖尿病患經雙側腎臟切除後發生乳糜性腹水:病例報告 |
作者 | 劉文正 、 許舒淳 、 黃莉棋 |
頁次 | 157-162 |
關鍵字 | chylous ascites 、 medium-chain triglyceride 、 sandostatin 、 乳糜性腹水 、 中鏈三酸甘油酯 、 體制素 |
出刊日期 | 201109 |
手術後乳糜性腹水是後腹腔手術罕見的併發症,其發生於一位糖尿病患因氣腫性腎盂腎炎經雙側腎臟切除後,則更為罕見。我們報告一位40 歲的女性糖尿病患因上述原因,發生手術後乳糜性腹水;經由腹水引流、中鏈三酸甘油酯為主的飲食,並經全腸道營養、體制素(sandostatin)注射等保守療法,而成功治癒。
Postoperative chylous ascites is a rare complication of retroperitoneal surgery. Chylous ascites is even rarer after a bilateral nephrectomy due to emphysematous pyelonephritis in a diabetic patient. We report a case of a 40-year-old diabetic female, who suffered from chylous ascites following a bilateral nephrectomy for emphysematous pyelonephritis. The patient was successfully treated with therapeutic ascites drainage, a medium-chain triglyceride (MCT)-based diet, followed by total parenteral nutrition (TPN) and sandostatin administration.