World Journal of Laparoscopic Surgery

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VOLUME 17 , ISSUE 3 ( September-December, 2024 ) > List of Articles

CASE REPORT

Laparoscopic Cholecystectomy-Chyle Leak: A Case Report

Lingam Sridhar, Rohit Phadnis, Faiz Hussain, Sarath C Chappidi, K Subrahmanya Narayan Dora

Keywords : Case report, Chyle leak, Laparoscopic cholecystectomy, Triglycerides

Citation Information : Sridhar L, Phadnis R, Hussain F, Chappidi SC, Dora KS. Laparoscopic Cholecystectomy-Chyle Leak: A Case Report. World J Lap Surg 2024; 17 (3):175-177.

DOI: 10.5005/jp-journals-10033-1620

License: CC BY-NC 4.0

Published Online: 16-08-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Aim: To elucidate the findings in a rare yet potentially morbid complication in a case of uncomplicated Cholecystitis. Background: Chyle leak after laparoscopic cholecystectomy (LC) is rarely reported. However, it must be recognized promptly and managed as it can lead to further metabolic and infectious complications. Case description: We present the case of a 40-year-old lady who was admitted with ultrasound-proven cholelithiasis with no signs of cholecystitis. Her Total leukocytic count and liver function tests were within normal limits. She underwent an uneventful standard LC. Postoperatively there was a cumulative collection of 150 mL of white fluid in his drain. The fluid triglyceride was 1620 mg/dL, confirming it to be chyle. She was clinically asymptomatic. She was managed conservatively as a low-volume chyle leak with a fat-free diet. The drain was removed on postoperative day (POD) 11 after nil collection for 3 consecutive days. Conclusion: Chyle leak, though a rare complication, after LC timely response and active intervention help in managing rare complications of LC like chylous leak for better outcomes. Significance: The ‘take home’ message is that although rare, chyle leaks should be considered even in uncomplicated LC.


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