Postoperative External Transabdominal Severe Lymphorrea (Case Report)
Massive lymphorrhea can cause severe dysfunction of organs and systems and result in death due to loss of vital metabolites from the bodyAim. To demonstrate low efficacy of conservative therapy and late lymph duct ligation in continuous massive postoperative lymphorrhea.Results. We treated a patient...
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Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2020-11-01
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| Series: | Общая реаниматология |
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| Online Access: | https://www.reanimatology.com/rmt/article/view/1966 |
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| author | I. V. Yarema S. A. Fursov S. A. Pulnikov G A. Baranov A. V. Dobryakov N. S. Kozlov A. A. Dolzhenko G. M. Korolyuk |
| author_facet | I. V. Yarema S. A. Fursov S. A. Pulnikov G A. Baranov A. V. Dobryakov N. S. Kozlov A. A. Dolzhenko G. M. Korolyuk |
| author_sort | I. V. Yarema |
| collection | DOAJ |
| description | Massive lymphorrhea can cause severe dysfunction of organs and systems and result in death due to loss of vital metabolites from the bodyAim. To demonstrate low efficacy of conservative therapy and late lymph duct ligation in continuous massive postoperative lymphorrhea.Results. We treated a patient with previous subtotal gastric resection with single-plane pancreatic resection, D2 lymph node dissection, peritoneal draining due to poorly differentiated carcinoma in the lower third of stomach and total hysterectomy who developed external lymphorrhea through peritoneal drainage tubes 3 days after surgery. A fat-rich diet, endolymphatic sodium etamsylate administration, and lymphatic duct ligation were not successful in terminating the lymph leakage. Despite the intensive care including extracorporeal detoxification, the multi-organ failure progressed and on day 28 after the surgery the patient was pronounced dead.Conclusion. Damage to lymph ducts and lymph nodes can be complicated by massive lymphorrhea. If the source of lymphorrhea can be identified, an urgent surgical intervention is warranted to stop the lymph leakage, as well as the restoration of homeostasis to replenish the lost metabolites and prevent death of the patient. |
| format | Article |
| id | doaj-art-ed899fbfe1b0485684f770ddaf3d3bc8 |
| institution | Kabale University |
| issn | 1813-9779 2411-7110 |
| language | English |
| publishDate | 2020-11-01 |
| publisher | Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia |
| record_format | Article |
| series | Общая реаниматология |
| spelling | doaj-art-ed899fbfe1b0485684f770ddaf3d3bc82025-08-20T03:59:40ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102020-11-01165374410.15360/1813-9779-2020-5-37-441763Postoperative External Transabdominal Severe Lymphorrea (Case Report)I. V. Yarema0S. A. Fursov1S. A. Pulnikov2G A. Baranov3A. V. Dobryakov4N. S. Kozlov5A. A. Dolzhenko6G. M. Korolyuk7A.I. Evdokimov Moscow State University of medicine and dentistry, Ministry of Health of RussiaA.I. Evdokimov Moscow State University of medicine and dentistry, Ministry of Health of RussiaA.I. Evdokimov Moscow State University of medicine and dentistry, Ministry of Health of RussiaA.I. Evdokimov Moscow State University of medicine and dentistry, Ministry of Health of RussiaA.I. Evdokimov Moscow State University of medicine and dentistry, Ministry of Health of RussiaA.I. Evdokimov Moscow State University of medicine and dentistry, Ministry of Health of RussiaA.I. Evdokimov Moscow State University of medicine and dentistry, Ministry of Health of RussiaA.I. Evdokimov Moscow State University of medicine and dentistry, Ministry of Health of RussiaMassive lymphorrhea can cause severe dysfunction of organs and systems and result in death due to loss of vital metabolites from the bodyAim. To demonstrate low efficacy of conservative therapy and late lymph duct ligation in continuous massive postoperative lymphorrhea.Results. We treated a patient with previous subtotal gastric resection with single-plane pancreatic resection, D2 lymph node dissection, peritoneal draining due to poorly differentiated carcinoma in the lower third of stomach and total hysterectomy who developed external lymphorrhea through peritoneal drainage tubes 3 days after surgery. A fat-rich diet, endolymphatic sodium etamsylate administration, and lymphatic duct ligation were not successful in terminating the lymph leakage. Despite the intensive care including extracorporeal detoxification, the multi-organ failure progressed and on day 28 after the surgery the patient was pronounced dead.Conclusion. Damage to lymph ducts and lymph nodes can be complicated by massive lymphorrhea. If the source of lymphorrhea can be identified, an urgent surgical intervention is warranted to stop the lymph leakage, as well as the restoration of homeostasis to replenish the lost metabolites and prevent death of the patient.https://www.reanimatology.com/rmt/article/view/1966lymphorrheacapillary leakage syndromelymphocytopeniahypoproteinemiaendolymphatic therapy to control lymphorrhea |
| spellingShingle | I. V. Yarema S. A. Fursov S. A. Pulnikov G A. Baranov A. V. Dobryakov N. S. Kozlov A. A. Dolzhenko G. M. Korolyuk Postoperative External Transabdominal Severe Lymphorrea (Case Report) Общая реаниматология lymphorrhea capillary leakage syndrome lymphocytopenia hypoproteinemia endolymphatic therapy to control lymphorrhea |
| title | Postoperative External Transabdominal Severe Lymphorrea (Case Report) |
| title_full | Postoperative External Transabdominal Severe Lymphorrea (Case Report) |
| title_fullStr | Postoperative External Transabdominal Severe Lymphorrea (Case Report) |
| title_full_unstemmed | Postoperative External Transabdominal Severe Lymphorrea (Case Report) |
| title_short | Postoperative External Transabdominal Severe Lymphorrea (Case Report) |
| title_sort | postoperative external transabdominal severe lymphorrea case report |
| topic | lymphorrhea capillary leakage syndrome lymphocytopenia hypoproteinemia endolymphatic therapy to control lymphorrhea |
| url | https://www.reanimatology.com/rmt/article/view/1966 |
| work_keys_str_mv | AT ivyarema postoperativeexternaltransabdominalseverelymphorreacasereport AT safursov postoperativeexternaltransabdominalseverelymphorreacasereport AT sapulnikov postoperativeexternaltransabdominalseverelymphorreacasereport AT gabaranov postoperativeexternaltransabdominalseverelymphorreacasereport AT avdobryakov postoperativeexternaltransabdominalseverelymphorreacasereport AT nskozlov postoperativeexternaltransabdominalseverelymphorreacasereport AT aadolzhenko postoperativeexternaltransabdominalseverelymphorreacasereport AT gmkorolyuk postoperativeexternaltransabdominalseverelymphorreacasereport |