Chylopericardial tamponade secondary to superior vena cava thrombosis in a child with nephrotic syndrome.
We report on a 4-year-old girl with steroid-resistant nephrotic syndrome who presented with life-threatening chylopericardial tamponade with chylothorax secondary to superior vena cava thrombosis. This is the first case report of this complication in a child. We outline the treatment, which included emergency pericardiocentesis and thoracostomy, parentral anticoagulation and dietary modifications. This therapeutic regimen resulted in a good outcome.
Suri
Deepti
D
Department of Pediatrics, Advanced Pediatrics Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India. surideepti@gmail.com
Gupta
Neeraj
N
Morigeri
Chandrashekara
C
Saxena
Akshay
A
Manoj
Rohit
R
D002305:Cardiac Tamponade / Q000150:complications* / Q000601:surgery; D002675:Child, Preschool; D002916:Chylothorax / Q000150:complications / Q000601:surgery; D003520:Cyclophosphamide / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D009404:Nephrotic Syndrome / Q000150:complications* / Q000601:surgery*; D010490:Pericardial Effusion / Q000150:complications*; D020519:Pericardiocentesis; D011239:Prednisolone / Q000627:therapeutic use; D011859:Radiography; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D013907:Thoracostomy; D013997:Time Factors; D016896:Treatment Outcome
D005938:Glucocorticoids; D007166:Immunosuppressive Agents; D003520:Cyclophosphamide; D011239:Prednisolone