Ces Urol 2024, 28(4):234-239 | DOI: 10.48095/cccu2024029

Chylous ascites after robotic assisted retroperitoneal lymphadenectomy - treatment with intranodal lymphography

Vendelín Chovanec^{1, 2}, Miloš Broďák^{2, 3}, Natalia Wiesner⁴, Jan Mašek^{1, 2}, Vladimír Študent⁴, Jaroslav Pacovský^{2, 3}

¹ Radiologická klinika Fakultní nemocnice v Hradci Králové

² Lékařská fakulta Univerzity Karlovy v Hradci Králové

³ Urologická klinika Fakultní nemocnice v Hradci Králové

⁴ Urologická klinika Fakultní nemocnice Olomouc

Chovanec V, Broďák M, Wiesner N, Študent V, Pacovský J. Chylous ascites after robotic assisted retroperitoneal lymphadenectomy - treatment with intranodal lymphography. The authors present a case of chylous ascites that developed after robot-assisted retroperitoneal lymphadenectomy. The intranodal lymphography with an oil-based contrast media was performed due to unsuccessful conservative treatment. After the lymphography chylous ascites ceased. This case report shows the possibility of treating postoperative chylous ascites with a radiological mini-invasive method.

Keywords: Ascites, chylous, complication, intranodal, lymphadenectomy, lymphography, retroperitoneal, robotic.

Received: October 1, 2024; Revised: October 25, 2024; Accepted: October 25, 2024; Prepublished online: October 26, 2024; Published: December 18, 2024