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Case Reports
. 2025 Aug 3:2025:6690258.
doi: 10.1155/crgm/6690258. eCollection 2025.

Management of Chyloperitoneum in Laparoscopic Colorectal Surgery for Cancer: A Case Report

B Picardi  1 , S Rossi  1 , F Cortese  1 , S Rossi Del Monte  1 , G Mazzarella  2 , S Molica  1   3 , C Puccioni  1   3 , A D'Urso  2
Affiliations
Case Reports

Management of Chyloperitoneum in Laparoscopic Colorectal Surgery for Cancer: A Case Report

B Picardi et al. Case Rep Gastrointest Med. .

Abstract

Chyloperitoneum after colorectal surgery remains a relatively rare complication with estimated incidence of 1%-6.5%. In colorectal surgery, this complication is mostly described after D3 right colectomy. Nonoperative treatment involves several approaches. We present a rare case of chyloperitoneum after laparoscopic left hemicolectomy for left-sided colonic adenocarcinoma. A CT scan and a triglycerides dosage on the chylous liquid were performed to confirm the diagnosis. The patient was successfully treated only by nutritional measures, avoiding prolonged fasting or invasive treatment. Fasting and complete parenteral nutrition are not necessarily required in the treatment of chyle leakage.

Keywords: chyle; chyloperitoneum; colorectal surgery; lymphadenectomy; lymphatic.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Typical noninfected white milky fluid from surgical drain.
See this image and copyright information in PMC

References

    1. Ng Z. Q., Han M., Beh H. N., Keelan S. Chylous Ascites in Colorectal Surgery: A Systematic Review. World Journal of Gastrointestinal Surgery . 2021;13(6):585–596. - PMC - PubMed
    1. Al-Busafi S. A., Ghali P., Deschênes M., Wong P. Chylous Ascites: Evaluation and Management. ISRN Hepatol . 2014;2014:p. 240473. doi: 10.1155/2014/240473. - DOI - PMC - PubMed
    1. Mazzarella G., Muttillo E. M., Picardi B., Rossi S., Muttillo I. A. Complete Mesocolic Excision and D3 Lymphadenectomy With Central Vascular Ligation in Right-Sided Colon Cancer: A Systematic Review of Postoperative Outcomes, Tumor Recurrence, and Overall Survival. Surgical Endoscopy . 2021;35(9):4945–4955. doi: 10.1007/s00464-021-08529-4. - DOI - PubMed
    1. Agustsdottir E. E. S., Stimec B. V., Stroemmen T. T., et al. Preventing Chylous Ascites After Right Hemicolectomy With D3 Extended Mesenterectomy. Langenbeck’s Archives of Surgery . 2020;405(7):1017–1024. doi: 10.1007/s00423-020-01938-4. - DOI - PMC - PubMed
    1. Riley D., Barber M., Kienle G., et al. CARE Guidelines for Case Reports: Explanation and Elaboration Document. Journal of Clinical Epidemiology . 2017;89:218–235. doi: 10.1016/j.jclinepi.2017.04.026. - DOI - PubMed

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