Applied Medical Research. 2021;
8(2):(123-176)
Chylooperitoneum in the Cardiovascular Possurgical Presentation of a Case
AIlen Corrales Arredondo, C Alfredo Mario Naranjo Ugalde, Lais Angélica Ceruto Ortiz*, Luis Bravo Pérez de Ordaz and Pedro Rolando López Rodríguez
Abstract
Introduction: Chyloperitoneum is defined as the presence of lymph of thoracic or intestinal origin in the
abdominal cavity. It is reported infrequently and is a rare manifestation of multiple deseases. Most of the
cases are secondary and are associated with direct trauma to the peritoneal dialysis. Renal replacement
therapy is necessary in up to 10% of children who undergo cardiac surgery with extracorporeal circulation,
indicated in cases of water overload, acute renal dysfunction or ionic alterations.
Objective: To report the case of a 15-day-old newborn, operated on for Transposition of the Great Vessels,
who presented as a postoperative complication, dicharge of chylous content through the Tenckhoff, after a
peritoneal dialysis regimen due to acute renal failure and fluid overload.
Results: Despite the therapeutic measures taken, the patient maintains centuries-old losses of lymph,
which lead to nutritional and immunological deterioration with the consequent multiple organ dysfunction
and death.
Conclusions: The perpetuation of lymph losses in the postoperative period of cardiovascular surgery produces
a nutritional and immunological deterioration of the patient, with a high risk of mortality due to
sepsis.
