Prolonged High Output Non-Chylous Lymphatic Drainage in A Post-Pancreaticoduodenectomy - An Unusual Case Report |Biomedgrid

Lymphatic leak following pancreaticoduodenectomy has been reported in the literature as chylous leak which occurs in up to 10% of patients [1] whereas non-chylous drainage has not been reported. We report an unusual case of prolonged non-chylous lymphatic drainage after classical Whipple's pancreaticoduodenectomy for a periampullary carcinoma with obstructive jaundice post ERCP and stenting. Such a drainage causes significant concern to the surgeon and the patient regarding morbidity and nutrition but can be safely managed conservatively with drain in-situ, though for a prolonged duration than expected and without additional morbidity.