[Chylous ascites after trans-peritoneal laparoscopic adrenalectomy: anatomical distribution of lymph nodes and management].

We report the case of a chylous ascites after transperitoneal laparoscopic adrenalectomy. This complication is known after surgery in urology but remains rare and was not described after laparoscopic adrenalectomy. Anatomy for lymph nodes distribution was described to understand the occurrence of this complication. The diagnosis of chylous ascites is referred to clinical signs of peritoneal irritation and confirmed by puncture, the treatment is initially conservative. Copyright (c) 2009 Elsevier Masson SAS. All rights reserved.