Primary idiopathic chylopericardium: a case report

Primary idiopathic chylopericardium is a rare disease, particularly in children. We report the case of a 5-year-old male child who presented with cough and dyspnoea. Bulging of the chest wall and distant heart sounds suggested the diagnosis of a pericardial effusion, which was confirmed on a chest c...

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Bibliographic Details
Published in:Cardiology in the young 2013-10, Vol.23 (5), p.773-775
Main Authors: Tan, Jian X., Fu, Yalin, Chen, Jie
Format: Article
Language:English
Subjects:
Brief Reports
Child, Preschool
Chyle
Humans
Ligation
Male
Pericardial Effusion - diagnostic imaging
Pericardial Effusion - surgery
Pericardial Window Techniques
Thoracic Duct - surgery
Tomography, X-Ray Computed
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Summary:Primary idiopathic chylopericardium is a rare disease, particularly in children. We report the case of a 5-year-old male child who presented with cough and dyspnoea. Bulging of the chest wall and distant heart sounds suggested the diagnosis of a pericardial effusion, which was confirmed on a chest computed tomography. Pericardial drainage confirmed the diagnosis of a chylopericardium. After the failure of continuous catheter drainage, surgical ligation of the thoracic duct and the creation of a pericardial window were performed under thoracoscopy.
ISSN:1047-9511
1467-1107
DOI:10.1017/S1047951112001825