<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Surgery associated with lymphadenectomy may sometimes result in a lymphorrhagia, which usually resolves spontaneously within a few days, sometimes becoming a refractory complication to the treatment. In the case of large flows, particular attention should be paid to hydro-electrolytic and protein losses. We present the case of a patient with persistent lymphorrhagia after a cephalic duodenopancreatectomy for a pancreatic head tumor. From the 5th postoperative day, the patient had a milky-like secretion on the subhepatic drainage tube. The discharge rate was variable, between 500 and 1500 ml per day, requiring parenteral administration of amino acids, plasma and electrolyte solutions. The postoperative progression was slowly favorable, with the patient discharge on the 25th day following surgery. There are several treatment options for a lymphorrhagia following an extended lymphadenectomy, from intensive parenteral therapy to peritoneal-venous shunt or ligation of the lymphatic vessel responsible for the production of lymphorrhagia. In this case the conservative treatment had a favorable result.</p></abstract>

Surgery associated with lymphadenectomy may sometimes result in a lymphorrhagia, which usually resolves spontaneously within a few days, sometimes becoming a refractory complication to the treatment. In the case of large flows, particular attention should be paid to hydro-electrolytic and protein losses. We present the case of a patient with persistent lymphorrhagia after a cephalic duodenopancreatectomy for a pancreatic head tumor. From the 5th postoperative day, the patient had a milky-like secretion on the subhepatic drainage tube. The discharge rate was variable, between 500 and 1500 ml per day, requiring parenteral administration of amino acids, plasma and electrolyte solutions. The postoperative progression was slowly favorable, with the patient discharge on the 25th day following surgery. There are several treatment options for a lymphorrhagia following an extended lymphadenectomy, from intensive parenteral therapy to peritoneal-venous shunt or ligation of the lymphatic vessel responsible for the production of lymphorrhagia. In this case the conservative treatment had a favorable result.

Postoperative Lymphorrhagia- a Possible Complication Following Cephalic Duodenopancreatectomy

University of Medicine, Pharmacy, Sciences and Technology of Targu Mures

Microbiology, virology and parasitology Department

University of Medicine, Pharmacy, Sciences and Techology of Târgu Mureș

University of Medicine, Pharmacy, Sciences and Technology of Târgu Mures

Acta Marisiensis - Seria Medica

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Surgery associated with lymphadenectomy may sometimes result in a lymphorrhagia, which usually resolves spontaneously within a few days, sometimes becoming a...

Postoperative Lymphorrhagia- a Possible Complication Following Cephalic Duodenopancreatectomy

Published Online: Sep 26, 2019

Page range: 121 - 122

Received: Feb 14, 2019

Accepted: Jun 11, 2019

DOI: https://doi.org/10.2478/amma-2019-0013

Keywords
lymphorrhagia, cephalic duodenopancreatectomy, rare complication

© 2019 Adrian Tudor et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Postoperative Lymphorrhagia- a Possible Complication Following Cephalic Duodenopancreatectomy

Published Online: Sep 26, 2019

Page range: 121 - 122

Received: Feb 14, 2019

Accepted: Jun 11, 2019

DOI: https://doi.org/10.2478/amma-2019-0013

Keywordslymphorrhagia, cephalic duodenopancreatectomy, rare complication

© 2019 Adrian Tudor et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
lymphorrhagia, cephalic duodenopancreatectomy, rare complication