Chylothorax and chylopericardial tamponade in a hemodialysis patient with catheter-induced superior vena cava stenosis.
Chylothorax and chylopericardium refer to the presence of milky, triglyceride-rich chylous fluid in the thoracic and pericardial spaces, respectively. Both conditions are extremely uncommon in end-stage renal disease patients on dialysis. We report the first known case of combined chylothorax and chylous pericardial tamponade in a dialysis patient associated with catheter-induced superior vena cava (SVC) stenosis. A successful outcome was achieved with drainage of both chylous effusions in combination with angioplasty of the SVC stenosis.
Adekile
Ayoola
A
Divisions of Nephrology, State University of New York, Downstate Medical Center, Brooklyn, New York 11203, USA.
Adegoroye
Adeyinka
A
Tedla
Fasika
F
Levin
Daniel
D
Salifu
Moro O
MO
D000328:Adult; D002305:Cardiac Tamponade / Q000209:etiology*; D002916:Chylothorax / Q000209:etiology*; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000209:etiology*; D006435:Renal Dialysis; D013479:Superior Vena Cava Syndrome / Q000150:complications*