Journal of Gynecologic Oncology

Korean Society of Gynecologic Oncology (대한부인종양학회)
권호 표지

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

병기 IB2 자궁경부선암에서 근치적 자궁적출술 및 양측 골반 림프선 절제술 후 발생한 다량의 장액성 복수 1예

Hong, Dae-Gy;Kim, Bo-Seop;Lee, Yoon-Soon;Park, Il-Soo;Cho, Young-Lae
홍대기;김보섭;이윤순;박일수;조영래

  • Published : 2008.03.10
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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.

침윤성 자궁경부암에서 후복막 림프선 절제술을 동반한 근치적 자궁적출술 후 발생한 복수에 대한 보고가 있어 왔다. 이러한 문헌적 보고의 대부분은 유미성 복수에 대해 기술되었다. 유미성 복수는 우윳빛을 띠고 영양학적 문제를 발생시킨다. 후복막 림프선 절제술 후 발생한 유미성 복수는 가슴림프관 팽대의 손상 및 기타 원인으로 발생한다. 저자들은 근치적 자궁적출술 및 양측 골반 림프선 절제술 후 발생한 다량의 장액성 복수를 경험하였 다. 수술 후 배액된 복수의 양은 52일 동안 18,000 ml였으나 환자에게 영양학적 문제나 다른 합병증이 발생하 지 않았다. 원인을 밝히지 못하였으나 가슴림프관 팽대 이하의 림프선 손상에 의한 다량의 림프액 유출이 의심되 었다. 저자들은 문헌상 부인과 악성종양 수술 후 발생한 다량의 장액성 복수를 찾을 수 없었기에 문헌고찰과 함께 보고하는 바이다.

Keywords

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