Isolated primary chylopericardium.
Isolated primary chylopericardum is known to be a rare clinical entity. A 17-year-old girl was diagnosed as isolated primary chylopericardium. She was unresponsive to conservative treatment with pericardial tube drainage and medium chain triglyceride diet. At 2 weeks after the conservative treatment, ligation and resection of the thoracic duct with establishment of a pericardial window through a left thoracotomy was performed. At 6 months, follow-up showed no accumulation of the pericardial fluid. This case also supports that ligation and resection of the thoracic duct with establishment of a pericardial window is the treatment of choice in isolated primary chylopericardium.
Yüksel
M
M
Marmara University Hospital, Department of Thoracic Surgery, Istanbul, Turkey.
Yildizeli
B
B
Zonüzi
F
F
Batirel
H F
HF
D000293:Adolescent; D002916:Chylothorax / Q000000981:diagnostic imaging / Q000601:surgery*; D003937:Diagnosis, Differential; D018572:Disease-Free Survival; D004452:Echocardiography; D005260:Female; D006801:Humans; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000601:surgery*; D010491:Pericardial Window Techniques; D013908:Thoracotomy