Russian Journal of OncologyRussian Journal of Oncology1028-99842412-9119Eco-Vector3991010.17816/onco39910Chyloperitoneum concurrent with chylothoraxChkhikvadzeV Dvdc@mail.ruGoncharovS V-TrotsenkoI D-ManvelidzeA G-MarchenkoI P-ChkhikvadzeV D-GoncharovS V-TrotsenkoI D-ManvelidzeA G-MarchenkoI P-15102011165474922072020Copyright © 2011, Eco-Vector2011The paper describes a rare case of massive chyloperitoneum concurrent with chylothorax in a female patient with kidney cancer developing 4 years after multimodality treatment (surgery, radiotherapy, and immunotherapy). The data available in the literature on chyloperitoneum are analyzed in detail. The etiology of this condition and current approaches to its treatment are described. A treatment algorithm is given in detail to treat patients with the similar clinical situation.chyloperitoneumchylothoraxtreatmentхилоперитонеумхилоторакслечение[Aalami O. O., Allen D. B., Organ C. H. Jr. // Surgery. - 2000. - Vol. 128. - P. 761-778.][Amin R. // Urology. - 2002. - Vol. 59. - P. 773.][Bacelar T. S., de Albuquerque A. C., de Arruda P. C. et al. // JSLS. - 2003. - Vol. 7. - P. 269-271.][Cappell M. S., Friedman D., Mikhail N. // Am. J. Gastroenterol. - 1993. - Vol. 88. - P. 99-101.][Desrame J., Bechade D., Patte J. H. et al. // Gastroenterol. Clin. Biol. - 2000. - Vol. 24. - P. 837-840.][Ekwcani C. N. // West. Afr. J. Med. - 2002. - Vol. 21. - P. 170-172.][Foldi E., Foldi M. // Lehrbuch der Lymphologie for Mediziner und Physiotherapeuten / Eds M. Foldi, S. Kubi et al. - Stuttgart. - 1991. - P. 301-308.][Frank Meyer Guenter, Weiss Zuhir Halloul, Arndt Hribaschek Karsten, Ridwelski Hans Lippert. Successful conservative treatment of chylous ascites as rare intermediate complication after resection of an aboral esophageal carcinoma. - Magdeburg, Germany, 2008.][Gilkeson G. S., Allen N. B. // Rheum. Dis. Clin. N. Am. - 1996. - Vol. 22. - P. 23-38.][Goldfarb J. P. // Am. J. Gastroenterol. - 1984. - Vol. 79. - P. 133-135.][Halloul Z., Meyer F., Burger T. et al. // Vasa. - 1995. - Vol. 24. - P. 377-381.][Isenberg J. I., Gilbert S. B., Pitcher J. L. // Gastroenterology. - 1971. - Vol. 60. - P. 305-310.][Jensen E. H., Weiss C. A. Management of chylous ascites after laparoscopic using minimally invasive techniques: a case report and literature review. - Tampa, USA, 2006.][Jensen E. H., Weiss C. A. 3rd. // Am. Surg. - 2006. - Vol. 72. - P. 60-63.][Keaveny A. P., Karasik M. S., Farber H. W. // Am. J. Gastroenterol. - 1999. - Vol. 94. - P. 1689-1690.][Leibovitch I., Mor Y., Golomb J., Ramon J. // J. Urol. (Baltimore). - 2002. - Vol. 167. - P. 449-457.][Little J. M., Harrison C., Blalock A. // Surgery. - 1942. - Vol. 11. - P. 392.][Marts B., Naunheim K., Fiore A., Pennington D. // Am. J. Surg. - 1992. - Vol. 164. - P. 532-534.][Molina W. R., Desai M. M., Gill I. S. // J. Urol. (Baltimore). - 2003. - Vol. 170. - P. 1938.][Morton R. Cit. Bragebuhr A. Dtsch. Arch. Klin. Med. - 1894- 1895. - Vol. 56. - P. 410-413.][Müns G., Rennard S. I., Floreani A. A. Combined occurrence of chyloperitoneum and chylothorax after retroperitoneal surgery. - 1995.][Press O. W., Press N. O., Kaufman S. D. // Ann. Intern. Med. - 1982. - Vol. 96. - P. 358-364.][Qi Huang, Zhi-Wei Jiang, Jun Jiang et al. Chylous ascites: Treated with total parenteral nutrition and somatostatin. - Jiangsu Province, China, 2004.][Reisinger S. A., Asbury R., Liao S. Y. et al. // Gynecol. Oncol. - 1996. - Vol. 63. - P. 299-303.][Selle J., Snyder W., Schreiber J. // Ann. Surg. - 1973. - Vol. 177. - P. 245-249.][Senyuz O. F., Senturk H., Tasci H. et al. // J. Hepatobil. Pancreat. Surg. - 2001. - Vol. 8. - P. 571-572.][Sexton W. J., Wood C. G., Kim R. et al. // J. Urol. (Baltimore). - 2003. - Vol. 169. - P. 1353-1356.][Shafizadeh S. F., Daily P. P., Baliga P. et al. // Urology. - 2002. - Vol. 60. - P. 345.][Shahzad S. Shah, Kamran Ahmed, Richard Smith et al. Chylous ascites following radical nephrectomy: a case report. - London, 2008.][Suarez Crespo J. F., De Sola Earle C., Quintero Fuentes D. et al. // Rev. Esp. Enferm. Dig. - 1995. - Vol. 87. - P. 834-835.][Sukumaran K. Nair, Matus Petko, Martin P. Aetiology and management of chylothorax in adults. - London, 2007.][Tokiwa K., Fumino S., Ono S. et al. // Arch. Surg. - 2003. - Vol. 138. - P. 711-715.][Vasco J. S., Tapper R. I. // Arch. Surg. - 1967. - Vol. 95. - P. 355-368.][Vefa Yildirim et al. Octreotide infusion for the treatment of chylothorax in pediatric cardiac intensive care unit. - Ankara, Turkey, 2005.]