[Primary and secondary chylopericardium].
Primary chylopericardium proved to be the (rare) cause of chronic, symptom-poor pericardial effusion in a 19-year-old man. Echocardiography and pericardiocentesis provided a firm diagnosis. Lymphography demonstrated extravasation into the mediastinum but no direct connection into the pericardial sac. Ligation of the thoracic duct at diaphragmatic level and pericardiostomy achieved a cure. Secondary chylopericardium requires treatment of the underlying disease, e.g. mediastinal tumor. Chylopericardium after thoracic or cardiac operation without signs of tamponade is preferably treated conservatively by pericardiocentesis and diet.
D000328:Adult; D002913:Chyle; D004452:Echocardiography; D006801:Humans; D008026:Ligation; D008220:Lymphography; D008297:Male; D008482:Mediastinum / Q000000981:diagnostic imaging; D010490:Pericardial Effusion / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013902:Radiography, Thoracic; D013897:Thoracic Duct / Q000601:surgery; D014057:Tomography, X-Ray Computed
Primäres und sekundäres Chyloperikard.