A Rare Complication of Chylous Leak After simple Nephrectomy. A case report
Yousef, A., taha, D., Zeinelabden, K., nabeeh, H., abdelbaky, T., elbehiry, A., shokry, E., abdelmoaty, A., abd elhalim, E., abd elaty, M., zeid, A. (2025). A Rare Complication of Chylous Leak After simple Nephrectomy. A case report. EKB Journal Management System, (), -. doi: 10.21608/eju.2025.307446.1018
Ali Ibrahim Yousef; diaa eldin taha; Khaled M Zeinelabden; hossam nabeeh; tarek M abdelbaky; ahmed M elbehiry; eslam shokry; ahmed abdelmoaty; Elsayed abd elhalim; mohamed abd elaty; Ahmed zeid. "A Rare Complication of Chylous Leak After simple Nephrectomy. A case report". EKB Journal Management System, , , 2025, -. doi: 10.21608/eju.2025.307446.1018
Yousef, A., taha, D., Zeinelabden, K., nabeeh, H., abdelbaky, T., elbehiry, A., shokry, E., abdelmoaty, A., abd elhalim, E., abd elaty, M., zeid, A. (2025). 'A Rare Complication of Chylous Leak After simple Nephrectomy. A case report', EKB Journal Management System, (), pp. -. doi: 10.21608/eju.2025.307446.1018
Yousef, A., taha, D., Zeinelabden, K., nabeeh, H., abdelbaky, T., elbehiry, A., shokry, E., abdelmoaty, A., abd elhalim, E., abd elaty, M., zeid, A. A Rare Complication of Chylous Leak After simple Nephrectomy. A case report. EKB Journal Management System, 2025; (): -. doi: 10.21608/eju.2025.307446.1018

A Rare Complication of Chylous Leak After simple Nephrectomy. A case report

Egyptian Journal of Urology
Articles in Press, Accepted Manuscript, Available Online from 20 May 2025  XML
Document Type: Case Reports
DOI: 10.21608/eju.2025.307446.1018
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Authors
Ali Ibrahim Yousef email orcid 1; diaa eldin taha2; Khaled M Zeinelabden3; hossam nabeeh2; tarek M abdelbaky3; ahmed M elbehiry3; eslam shokry3; ahmed abdelmoaty3; Elsayed abd elhalim3; mohamed abd elaty3; Ahmed zeid3
1Kafrelsheikh
2kafrelsheikh
3urology department , faculty of medicine . kafrelsheikh university
Abstract
Background: Chylous leakage results from either blockage of the lymphatics or leakage secondary to inadvertent trauma during surgery. Most cases of traumatic chylous leakage resolve with conservative treatment but refractory cases may need surgical ligation of lymphatics. A 38 years old female patient presented with unbearable left loin pain. The patient has neither past medical history nor surgical history. No abnormalities were detected regarding the general and abdominal examination with average body mass index. Laboratory investigations were within normal values. Ultrasound imaging of the abdomen and pelvis showed left hydronephrotic kidney with thinned out parenchyma (bag of water) further imaging was done. Non contrast computed tomography (NCCT) abdomen and pelvis showed left hydronephrotic kidney.We report a rare case of chylous leak after simple nephrectomy for a poorly functioning kidney. The patient was managed conservatively by using a betadine solution instillation through the tube drain of the operation then closing the drain for 24 hours.

Conclusion: Post-operative chylous leak is a rare but considerable complication of retroperitoneal surgery. Most cases resolve with conservative treatment.

Refractory cases need either open or laparoscopic ligation of the leaking lymphatic channels.
Keywords
chylous leak; simple nephrectomy; betadine solution
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