Selcuk Sahin, Osman Ozdemir, Ismail Evren, Serdar Karadag, Volkan Tugcu, Ali Ihsan Tasci

Laparoskopik donör nefrektomi sonrasında silöz asit: Türkiye’deki ilk olgu sunumu

Son dönem böbrek yetmezliğinin tedavilerinden biri canlı verici böbrek naklidir. Birçok nakil merkezinde, laparoskopik canlı donör nefrektomi standart yaklaşım olarak uygulanmaktadır. Şiloz asit, laparoskopik donör nefrektomi (LDN) sonrası çok nadir görülen bir komplikasyondur. Tü- kiye’deki donör nefrektomi sonrası ilk şilöz asit vakasının yönetimini sunmayı amaçladık. 62 yaşında erkek hastaya laparoskopik transperitoneal sol donör nefrektomi yapıldı. Taburcu olduktan bir ay sonra batında distansiyon ile başvuran hastaya yapılan görüntülemelerde batında yaygın serbest sıvı saptandı. Perkütan drenaj kateteri takılan hastada drenaj kateterine gelen sıvının süt renginde, şilöz vasıfta olduğu görüldü. Hasta perkütan drenaj, somatostatin analogu ve total parenteral nutrisyon kombinasyonu ile tedavi edildi.

Anahtar Kelimeler:

Şilöz asit, laparoskopik donör nefrektomi, şilöz kaçak

Chylous ascites after laparoscopic donor nephrectomy: First case report in Turkey

Living-donor kidney transplantation is one of the treatment options of end-stage renal failure. In many transplant centers, laparoscopic live-donor transplantation is recognised as the standard pro- cedure. Chylous ascites (CA) is a very rare complication after laparoscopic donor nephrectomy (LDN). We aimed to present the management of the first case report in Turkey. 62-year-old male patient underwent laparoscopic transperitoneal left donor nephrectomy. One month after discharge, he was admitted with abdominal distention and imaging revealed diffuse free fluid in the abdomen. After diagnosis, milky colored chylous fluid was collected by inserting a percutenous drainage cathe- ter. The patient was treated with combination of percutaneous drainage, somatostatin analogue and total parenteral nutrition.

Keywords:

chylous ascites, laparoscopic donor nephrectomy, chyle leakage,

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