Low-Dose Radiation Therapy (LDRT) for Lymphatic Obliteration in Persistent Chylous Ascites: A Case Report
Year: 2025
Type: article
Study design: Case Report
Abstract: Chylous ascites is a rare postoperative complication, typically associated with extensive abdominal procedures and caused by inadvertent injury to the retroperitoneal lymphatic vessels. Its management represents a therapeutic challenge, particularly in cases refractory to conventional strategies. We present the case of a patient with persistent lymphatic leakage following retroperitoneal lymphadenectomy for recurrent testicular cancer, who failed multiple standard interventions. Given the refractory nature of the condition, low-dose external beam radiotherapy was administered, resulting in complete resolution with no recurrence at two-year follow-up. This case highlights radiotherapy as a potentially effective therapeutic option for the management of lymphatic fistulas.
Source: Cureus
DOI: 10.7759/cureus.98646
Authors: Eduardo Guerrero Lizcano, Yuli Natalia Otero Pabon, Javier Rodriguez Corredor, Santiago Ardila Giraldo, Andrés González Ramírez, Sofía Dávila Garzón
Institution: Instituto Nacional de Cancerología
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4417095543