Lymphography with Patent Blue for Identification of Lymphatic Fistula After Radical Hysterectomy

Abstract Background: Pelvic lymphatic fistulas are generally manifested as vaginal discharge. Few cases describe its clinical presentation as chylous ascites. Case: We present a case of a 27-year-old patient who developed ascites following radical hysterectomy. A catheter was inserted into the ureter and a suction drain was left in the abdominal cavity because a ureteral fistula was suspected. The patient presented with high-output drainage of non-urinary fluid. A lymphatic fistula was diagnosed. Medical treatment was performed initially, followed by surgical intervention. Conclusions: Adequate diagnosis and treatment of the lymphatic fistula may offer a good result, with the patient being completely cured. (J GYNECOL SURG 29:45)