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Matsumoto, Tomohiro; Iseki, Jyoji; Kyoden, Yusuke; Oba, Noriyuki; Takagi, Masakazu; Watanabe, Masaya; Ohata, Ko; Sato, Shinsuke; Nagai, Erina; Kikuyama, Masataka
Nihon Shōkaki Geka Gakkai zasshi, 2013, Volume: 46, Issue: 3Journal Article
We report a rare case of intractable hepatic lymphorrhea following laparoscopic cholecystectomy. A 54-year-old man with chronic hepatitis was given a diagnosis of gallstones and underwent laparoscopic cholecystectomy. After the operation, ascites appeared and his condition worsened in spite of medication. Hepatic lymphorrhea was suspected, because of high specific gravity, high protein density, and the presence of lymphocytes. Five months after surgery, we performed laparotomy and sutured the fistula. It has been reported that intractable ascites is a potential complication after cholecystectomy in patients with liver disease such as chronic hepatitis or liver cirrhosis. Hepatic lymphorrhea after laparoscopic cholecystectomy is very rare. However, hepatic lymphorrhea should be considered in patients with massive and intractable ascites.
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