Korean J Gynecol Oncol.  2008 Mar;19(1):93-98. 10.3802/kjgo.2008.19.1.93.

A case of massive serous ascites following radical hysterectomy with bilateral pelvic lymphadenectomy for cervical adenocarcinoma stage IB2

• Hong DG
• Kim BS
• Lee YS
• Park IS
• Cho YL

• KMID: 1979507
• DOI: http://doi.org/10.3802/kjgo.2008.19.1.93

Abstract

Ascites following radical hysterectomy with retroperitoneal lymphadenectomy for invasive cervical cancer has been reported previously. Most of these reports described chylous ascites. The chylous ascitic fluid is milky; further, chylous ascites leads to nutritional problems. Authors present the case of a patient who developed serous ascites following radical hysterectomy with bilateral pelvic lymphadenectomy. The amount of ascites was approximately 18,000 ml over 52 days. The patient had no nutritional problems or complications. Although the etiology could not be determined, Authors surmise that the ascites may have been due to massive drainage from injured lymphatic channels below the cisterna chyli. Authors could not found any literatures which described massive serous ascites following surgery in gynecologic malignancy and reports this case with review of literatures.

Keyword

Cervix cancer; Ascites; Radical hysterectomy; Lymphadenectomy; Chylous ascites

MeSH Terms

Adenocarcinoma
Ascites
Ascitic Fluid
Chylous Ascites
Drainage
Humans
Hysterectomy
Lymph Node Excision
Thoracic Duct
Uterine Cervical Neoplasms

Figure

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  Fig. 1 Axial T2 weighted MR image shows about 4.3×4.4 cm hypertensive signal on cervix.

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  Fig. 2 Ascites. Computed tomography shows abundant ascites in abdominal cavity on 11th postoperative day.

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  Fig. 3 Ascitic fluid drainage after radical hysterectomy with both pelvic lymphadnectomy and serum albumin level.

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