Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492009000200017
Jornal Vascular Brasileiro
Case report

Tratamento cirúrgico da ascite quilosa

Claudia Stein Gomes; Gustavo Ioshio Handa; Fabio Porto Silveira; Vinicius Zendrini Buzingnani; Fernanda Macedo Binati; Elizana Stella Lopes Rasera

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Resumo

A ascite quilosa é uma complicação rara após procedimentos cirúrgicos e trauma abdominal, apresentando elevada morbidade e difícil manejo. Nos casos refratários ao tratamento clínico habitual, o tratamento cirúrgico se impõe, apesar da baixa taxa de sucesso. Dois casos são apresentados: o primeiro paciente foi vítima de trauma abdominal contuso e o segundo foi submetido a hernioplastia hiatal a Nissen videolaparoscópica, ambos evoluindo com ascite quilosa que necessitou de tratamento cirúrgico através da ligadura do ducto torácico, junto aos pilares diafragmáticos. Os pacientes evoluíram com melhora clínica e ausência de ascite após 24 meses de seguimento.

Palavras-chave

Ascite quilosa, doenças linfáticas, laparoscopia

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