Chylous ascites after lymphadenectomy in a Wilms’ tumor patient

Özet

Wilms’ tumor is the most common renal malignancy in children and the fourthmost common childhood cancer. It accounts 6-7% of all childhood malignancies.Surgical resection is an important therapy option and transabdominal ortransperitoneal resection with lymph node sampling is preferred.Development of chylous ascites following intraabdominal or retroperitonealresection in pediatric age group generally results from extensive lymph nodedissection, accidental ligation or interruption of lymphatic ducts. Diseasesor conditions affecting abdominal and/or retroperitoneal lymph nodes maycause chylous ascites. Postoperative chylous ascites is associated withsignificant morbidity and may cause mechanic, nutritional and immunologicalcomplications.In the present study, a 16-month-old infant with Stage IV Wilms’ tumor whodeveloped chylous ascites after left nephrectomy and lymphadenectomy willbe presented; chylous ascites treatment with enteral nutrition and surgicaltreatment approach for Wilms’ tumor will be reviewed.