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TL;DR
A case report describes a 43-year-old female kidney donor who developed a high-output chyle leak after right laparoscopic nephrectomy, which was successfully treated with percutaneous embolization after initial conservative therapy failed.
Korean Journal of Transplantation · 7 authors, 4 centres
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A case report describes a 43-year-old female kidney donor who developed a high-output chyle leak after right laparoscopic nephrectomy, which was successfully treated with percutaneous embolization after initial conservative therapy failed.
This case report details a 43-year-old female patient who developed a high-output chyle leak (over 1,500 mL/day) on postoperative day 2 following right laparoscopic donor nephrectomy. Initial conservative treatment with fasting and total parenteral nutrition resulted in a minimal decrease in drainage. MRI and intranodal lipiodol lymphangiography localized the leak to the right lumbar lymph trunk. The patient underwent two percutaneous embolization procedures using a mixture of N-butyl-2-cyanoacrylate and lipiodol. The drainage significantly decreased after the second embolization, and the patient was discharged on postoperative day 17. A 1-month follow-up showed stability.