CHYLO-ASZITES, A RARE COMPLICATION IN AOR TIC-SURGERY

Less than 1% of all complications following vascular surgery of the ab dominal aorta involve the lymphatic system. We report on a case of Chy lous ascites following the operation of a ruptured infrarenal aortic a neurysm. The primary therapy, administered over a period of five weeks , consistent of diuretics and substitution by human albumine. However, the chylus flow did not decrease. A surgical intervention by a retrop eritoneal ligation to try to stop the lymph flow also failed. Finally a total parental nutrition was followed by decrease and arrest of the lymph flow. Conservative treatment of this complication is considered as therapy of choice.