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Primary idiopathic chylopericardium associated with cervicomediastinal cystic hygroma

Authors
 Byoung Chul Cho  ;  Seok-Min Kang  ;  Seung Chul Lee  ;  Jeong Geun Moon  ;  Dong Hyung Lee  ;  Sang Hyun Lim 
Citation
 YONSEI MEDICAL JOURNAL, Vol.46(3) : 439-444, 2005 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2005
MeSH
Adult ; Female ; Humans ; Lymphangioma, Cystic/complications* ; Lymphangioma, Cystic/pathology ; Mediastinal Cyst/complications* ; Mediastinal Cyst/pathology ; Neck/pathology ; Pericardial Effusion/etiology* ; Pericardial Effusion/pathology ; Pericardial Effusion/therapy
Keywords
Chylopericardium ; pericardial effusions
Abstract
Chylopericardium is a rare clinical entity in which chylous fluid accumulates in the pericardial cavity. We report a case of primary idiopathic chylopericardium associated with multiple, small cervicomediastinal cystic hygromas occurring in an asymptomatic 43-year-old woman with no history of trauma, thoracic surgery, malignancy, infection or tuberculosis. Echocardiography showed a large amount of pericardial effusions and pericardial fluid analysis revealed inappropriately elevated triglyceride. We did not demonstrate communication between the thoracic duct and the pericardial sac by lymphangiography and chest computed tomography. She successfully responded to 30 days of continuous pericardial drainage and 15 days of a medium-chain triglyceride diet after 30 days of total parenteral nutrition. Follow-up echocardiography 6 months after treatment commencement showed a minimal reaccumulation of pericardial fluid without symptom. We conclude that if a patient is asymptomatic and can well tolerate daily life, surgery including pericardiectomy or ligation of the thoracic duct is not necessarily required.
Files in This Item:
T200501358.pdf Download
DOI
10.3349/ymj.2005.46.3.439
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Seok Min(강석민) ORCID logo https://orcid.org/0000-0001-9856-9227
Moon, Jeong Geun(문정근)
Lee, Dong Hyoung(이동형)
Lee, Seung Chul(이승철)
Lim, Sang Hyun(임상현)
Cho, Byoung Chul(조병철) ORCID logo https://orcid.org/0000-0002-5562-270X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/151417
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