ArticleInternational journal of surgery case reports2025
A case report of an unusual presentation of chyle leak after repair of a perforated gastric ulcer.
Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introduction and importanceChyle leak is an uncommon complication of abdominal surgeries. There are no reported cases of a chyle leakage following an omental patch repair for a perforated gastric ulcer before. A chyle leak from such a case however can successfully be treated conservatively. CASE PRESENTATION: We report an unusual case of a 57-year-old male presented with a perforated gastric ulcer who underwent a laparotomy and omental patch repair, which subsequently presented with a chyle leak from his abdominal wound. CLINICAL DISCUSSION: Post operative chyle leak usually occurs from the intraoperative disruption of the thoracic duct, cisterna chyli, or major tributaries of the lymphatic system, and hence can also occur following abdominal and retroperitoneal surgeries. Chyle leakage is not one of the known postoperative complications following an omental patch repair. As chyle leak after omental patch repair has not been reported before, we sought to ascertain the causes. This case was successfully treated conservatively. This patient had a low volume chyle leak. The main stay of conservative treatment for a low volume chyle leak is to reduce chyle production via nutrition optimisation. Literature found that a more conservative approach to management of a chyle leak can be very successful. We discuss the conservative management of the chyle leak with intraabdominal drainage and a very low-fat diet.
conclusionA chyle leak following an omental patch repair for a perforated gastric ulcer is an unusual post-operative complication. It can be treated conservatively successfully provided the chyle leak maintains at a low volume.
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