Chylous Ascites Post Laparoscopic Sleeve Gastrectomy: Video Case Report of a Rare Complication

We report a 38-year-old morbidly obese female patient, who presented 10  days post sleeve gastrectomy with chylous ascites. A lymphangiogram showed free leakage from a small tributary of the cisterna chyli. Conservative measures failed to control the leak. The patient was taken for surgery. Laparoscopic exploration with intralipid injection through an orogastric tube r evealed the leaking area near the hiatal surface posterior to the stomach and it was ligated with non-absorbable sutures and wrapped with a thrombin patch. The patient was discharged home in a good condition. Patient was followed up in the clinic after 2 weeks, 6 weeks, and 3 months with no compl aint.
Source: Obesity Surgery - Category: Surgery Source Type: research