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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Main Authors: I. V. Yarema, S. A. Fursov, S. A. Pulnikov, G A. Baranov, A. V. Dobryakov, N. S. Kozlov, A. A. Dolzhenko, G. M. Korolyuk
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2020-11-01
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.
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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
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AT avdobryakov postoperativeexternaltransabdominalseverelymphorreacasereport
AT nskozlov postoperativeexternaltransabdominalseverelymphorreacasereport
AT aadolzhenko postoperativeexternaltransabdominalseverelymphorreacasereport
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