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Primary idiopathic chylopericardium: a case report

Published online by Cambridge University Press:  27 November 2012

Jian X. Tan*
Affiliation:
Department of Pediatrics, Affiliated Hospital of Guangdong Medical College, Zhanjiang, China
Yalin Fu
Affiliation:
Department of Pediatrics, Affiliated Hospital of Guangdong Medical College, Zhanjiang, China
Jie Chen
Affiliation:
Department of Thoracic Surgery, Affiliated Hospital of Guangdong Medical College, Zhanjiang, China
*
Correspondence to: Professor J. X. Tan, Department of Pediatrics, Affiliated Hospital of Guangdong Medical College, Renming Road, Zhanjiang 524023, China. Tel: 86-0759-2387981; Fax: 86-0759-2231754; E-mail: fyerke@tom.com

Abstract

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.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2012 

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References

1. Lin, M, Sun, ZY, Yu, YH, Yang, B, Lin, X, Wang, Y. Congenital idiopathic chylopericardium – a case report and review of the literature. J Appl Clin Pediatr 2011; 26: 286288.Google Scholar
2. Huang, P, Wang, HW, Li, YP, Chen, PX, Wang, NK. Primary chylopericardiun in children: a report of 9 cases. Chin J Contemp Pediatr 2007; 9: 379380.Google Scholar
3. Huang, P, Wang, NK. Primary chylopericardium in children: a report of 4 cases. Chin Med J Metallurg Industry 1999; 6: 334336.Google Scholar
4. Huang, S, Yi, B, Chen, SJ. Primary chylopericardium: a case report. J appl Clin Pediatr 2003; 8: 651653.Google Scholar
5. Ye, CH, Zhen, KJ. A 15 month old infant with chylopericardium. Qin Hai Medical J 2006; 36: 6365.Google Scholar
6. Martinez-Pajares, JD, Rosa-Camacho, V, Camacho-Alonso, JM, Zabala-Arguelles, I, Gil-Jaurena, JM, Milano-Manso, G. Spontaneous chylous pericardial effusion: report of two cases. An Pediatr (Barc) 2010; 73: 4246.Google Scholar
7. Ossiani, MH, McCauley, RG, Patel, HT. Primary idiopathic chylopericardium. Pediatr Radiol 2003; 33: 357359.Google Scholar
8. López-Castilla, JD, Soult, JA, Falcón, JM, et al. Primary idiopathic chylopericardium in a 2 month old successfully treated without surgery. J Pediatr Surg 2000; 35: 646648.Google Scholar
9. Musemeche, CA, Riveron, FA, Backer, CL, Zales, VR, Idriss, FS. Massive primary chylopericardium: a report. J Pediatr Surg 1990; 25: 840842.Google Scholar
10. Attias, D, Ou, P, Souillard, P, Boudjemline, Y, Sidi, D, Bonnet, D. Spontaneous idiopathic chylopericardium in childhood. Arch Mal Coeur Vaiss 2006; 99: 529531.Google Scholar