Chyle Leak following Open Donor Nephrectomy: A Rare Complication—A Case Report
Introduction. Donor workup in renal transplantation is extensive. Despite this, chyle leakage following donor nephrectomy, a rare complication, has been reported in the literature. We encountered two cases of chyle leak in kidney donors in our series of open donor nephrectomies. Summary of Cases. Af...
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doaj-9da248c7281a4aa7b4fb5acd1d954d352020-11-24T21:07:10ZengHindawi LimitedCase Reports in Transplantation2090-69432090-69512012-01-01201210.1155/2012/259838259838Chyle Leak following Open Donor Nephrectomy: A Rare Complication—A Case ReportSandeep Harkar0Dharam Vir Singh1Sanjay Kumar Gupta2Raghav Talwar3Yajvender Pratap Singh Rana4Department of Urology, Army Hospital Research & Referral, Delhi Cantt, New Delhi 110012, IndiaDepartment of Urology, Army Hospital Research & Referral, Delhi Cantt, New Delhi 110012, IndiaDepartment of Urology, Army Hospital Research & Referral, Delhi Cantt, New Delhi 110012, IndiaDepartment of Urology, Army Hospital Research & Referral, Delhi Cantt, New Delhi 110012, IndiaDepartment of Urology, Army Hospital Research & Referral, Delhi Cantt, New Delhi 110012, IndiaIntroduction. Donor workup in renal transplantation is extensive. Despite this, chyle leakage following donor nephrectomy, a rare complication, has been reported in the literature. We encountered two cases of chyle leak in kidney donors in our series of open donor nephrectomies. Summary of Cases. After complete workup, standard open retroperitoneal donor nephrectomy with drain placement was performed in 684 living renal donors. We encountered chyle leak in two cases. The first case was a 33-year-old female who underwent an otherwise uneventful left donor nephrectomy but continued to have high drain output (upto 300–400 mL/24 hrs) in the postoperative period. The drain fluid was milky, raising the suspicion of chyle which was confirmed on biochemical analysis. The second case was a 42-year-old female with a similar case history. Both were managed conservatively with low-fat diet. The leak subsided spontaneously in three weeks and one week in the first and second patients, respectively. The drain was removed, and the patients remained symptom-free on followup. Conclusions. Both of our cases of chyle leak following open donor nephrectomy were managed successfully with conservative management. The management options and the experience of other centers are reviewed and discussed.http://dx.doi.org/10.1155/2012/259838 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sandeep Harkar Dharam Vir Singh Sanjay Kumar Gupta Raghav Talwar Yajvender Pratap Singh Rana |
spellingShingle |
Sandeep Harkar Dharam Vir Singh Sanjay Kumar Gupta Raghav Talwar Yajvender Pratap Singh Rana Chyle Leak following Open Donor Nephrectomy: A Rare Complication—A Case Report Case Reports in Transplantation |
author_facet |
Sandeep Harkar Dharam Vir Singh Sanjay Kumar Gupta Raghav Talwar Yajvender Pratap Singh Rana |
author_sort |
Sandeep Harkar |
title |
Chyle Leak following Open Donor Nephrectomy: A Rare Complication—A Case Report |
title_short |
Chyle Leak following Open Donor Nephrectomy: A Rare Complication—A Case Report |
title_full |
Chyle Leak following Open Donor Nephrectomy: A Rare Complication—A Case Report |
title_fullStr |
Chyle Leak following Open Donor Nephrectomy: A Rare Complication—A Case Report |
title_full_unstemmed |
Chyle Leak following Open Donor Nephrectomy: A Rare Complication—A Case Report |
title_sort |
chyle leak following open donor nephrectomy: a rare complication—a case report |
publisher |
Hindawi Limited |
series |
Case Reports in Transplantation |
issn |
2090-6943 2090-6951 |
publishDate |
2012-01-01 |
description |
Introduction. Donor workup in renal transplantation is extensive. Despite this, chyle leakage following donor nephrectomy, a rare complication, has been reported in the literature. We encountered two cases of chyle leak in kidney donors in our series of open donor nephrectomies. Summary of Cases. After complete workup, standard open retroperitoneal donor nephrectomy with drain placement was performed in 684 living renal donors. We encountered chyle leak in two cases. The first case was a 33-year-old female who underwent an otherwise uneventful left donor nephrectomy but continued to have high drain output (upto 300–400 mL/24 hrs) in the postoperative period. The drain fluid was milky, raising the suspicion of chyle which was confirmed on biochemical analysis. The second case was a 42-year-old female with a similar case history. Both were managed conservatively with low-fat diet. The leak subsided spontaneously in three weeks and one week in the first and second patients, respectively. The drain was removed, and the patients remained symptom-free on followup. Conclusions. Both of our cases of chyle leak following open donor nephrectomy were managed successfully with conservative management. The management options and the experience of other centers are reviewed and discussed. |
url |
http://dx.doi.org/10.1155/2012/259838 |
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