Abstract
The anatomical relationship between the aorta and cisterna chili is close, but chyloperitoneum seldom causes a problem after abdominal aortic surgery. The treatment includes operative and conservative methods. We present a 67-year-old male patient, who underwent abdominal aortic aneurysmectomy and reconstruction with a bifurcated graft because of the infected aortic aneurysm. The operation was complicated with chyloperitoneum, but conservative management with low-fat, high- protein and medium-chain triglyceride diet proved successful 5 months after the operation. The patient did not receive total parenteral nutrition or reoperation, and was able to tolerate normal ordinary diet during the follow-up period.
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