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April 30, 2026CureusOpen Access

Chylous Ascites After Robotic Retroperitoneal Lymph Node Dissection Resolved After 80 Days of Conservative Management: A Case Report

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Authors

MAMarkus AngererNFNiclas FlechtenmacherCWChristian Wülfing

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Overview

Case report shows prolonged conservative management resolving chylous ascites in a male with seminoma, implying patience in treatment can be crucial.

Key Points

  • To present a case of chylous ascites following robotic retroperitoneal lymph node dissection and its resolution through conservative management.
  • Conservative management including dietary restriction of long-chain triglycerides, TPN, and somatostatin analogues.
  • Paracentesis with drain insertion performed.
  • Home-based TPN initiated after 60 days of hospitalization due to ongoing chylous leakage.
  • Chylous leakage ceased after 80 days of conservative treatment.
  • Ascitic fluid analysis confirmed triglyceride level of 420 mg/dL.
  • Patient remained well one year later with no recurrence of chylous ascites or seminoma.

Cite This Study

Angerer et al. (2026) studied this question.

synapsesocial.com/papers/69f2f1dc1e5f7920c638784bhttps://doi.org/10.7759/cureus.107852
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