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Ascitis quilosa tras cirugía de aorta abdominal
Chylous ascities after abdominal aortic surgery
J. Ortega Carnicer1, A. Ambrós Checa, M.L. Gómez Grande
Servicio de Medicina Intensiva. Complejo Hospitalario de Ciudad Real
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La ascitis quilosa es una complicaci&#243;n extremadamente infrecuente de la cirug&#237;a a&#243;rtica abdominal&#44; que puede ocasionar problemas nutricionales&#44; deficiencias inmunol&#243;gicas y alteraciones respiratorias&#46; El diagn&#243;stico de la ascitis quilosa se basa en la paracentesis abdominal que revela un l&#237;quido lechoso&#44; sin olor&#44; est&#233;ril&#44; con un pH alcalino&#44; unas prote&#237;nas totales &#62; 3 g&#47;dl&#44; una cantidad de grasa total entre 0&#44;4 y 4&#44;0 g&#47;dl &#40;triglic&#233;ridos &#62; 1&#46;000 mg&#47;dl&#41; y escasa cantidad de leucocitos con predominio linfoc&#237;tico&#46; Se presenta un paciente con ascitis quilosa en el postoperatorio de un aneurisma a&#243;rtico infrarrenal parcialmente roto&#46; El tratamiento consisti&#243; en el drenaje de la ascitis&#44; el establecimiento de una dieta absoluta oral y una nutrici&#243;n parenteral total y&#44; finalmente&#44; el cambio a una nutrici&#243;n enteral con triglic&#233;ridos de cadena media&#46; El paciente falleci&#243; por un cuadro de fallo multiorg&#225;nico&#44; sin relaci&#243;n alguna con la ascitis quilosa&#46;</p>"
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Información del artículo
ISSN: 02105691
Idioma original: Español
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