23 September 2026
: Case report 
Refractory Chylous Ascites After Robot-Assisted Radical Prostatectomy With Sequential Anatomically Distinct Lymphatic Leak Sites Identified by Repeat Lymphangiography
Unusual clinical course, Unusual or unexpected effect of treatment, Educational Purpose (only if useful for a systematic review or synthesis)
Takayuki Owaki
ABCDEFG 1,2*, Yasuhito Funahashi ABE 1,3, Kosuke Tochigi B 1,4, Ryota Hyodo BDF 5, Wataru Nakane B 1,6, Masaya Matsushima B 5,7, Shusuke Akamatsu E 1
DOI: 10.12659/AJCR.954777
Am J Case Rep 2026; 27:e954777
Figure 2 Clinical course during the second admissionAlbumin (green), body weight (blue), and abdominal circumference (red) are plotted against postoperative day (POD) on the left axes. Drain output (black) is shown on the right axis. Upper bars indicate the duration of low-fat diet, octreotide, and total parenteral nutrition (TPN). Lower panel shows paracentesis volumes with cell-free concentrated ascites reinfusion therapy (CART). Numbered dashed vertical lines indicate key clinical events: (1) re-admission (POD 80); (2) lymphangiography (POD 87); (3) lymphatic embolization (POD 94); (4) lymphatic ligation (POD 102); (5) repeat embolization (POD 108); (6) discharge (POD 117).