Chylous ascites after retroperitoneal lymph node dissection.

  title={Chylous ascites after retroperitoneal lymph node dissection.},
  author={Tim Jansen and Frans M. J. Debruyne and Karl P J Delaere and Joost de Vries},
  volume={23 6},
Two cases of chylous ascites secondary to lymph node dissection for testicular tumors are presented. The diagnosis is confirmed by analysis of the fluid obtained by paracentesis, revealing fat globules, a positive staining with Sudan III, a smear showing mainly lymphocytes, and a high fat content. Treatment consisted of a medium chain triglycerides (MCT) diet, furosemide, and salt restriction.