title: [Chylopericardium and bilateral chylothorax in a breast cancer patient].
abstract: Non traumatic chylopericar dium is mostly secondary to infection, congenital or neoplastic disease that invade mediastinal lymph nodes and modify the normal lymphatic flow. It is associated to chylothorax in approximately 3% of cases. We report the case of a 52 years old woman with diagnosis of advanced breast cancer. She was admitted with bilateral pleural effusion and echocardiographic signs of cardiac tamponade. A CT scan disclosed multiple mediastinal lymphadenopathy. The level of tryglicerides in pleural effusion was 372 mg/dl. A percutaneous pericardiocentesis was performed, obtaining chyle, with 984 mg/dl of tryglicerides and cholesterol 90 mg/dl levels. Treatment strategy was modified. We reviewed pathophysiology, diagnostic criteria and treatment of this rare entity.
authors.affiliation: Instituto Alexander Fleming, Buenos Aires, Argentina. E-mail: mzylberman@alexanderfleming.org.
authors.forename: Marcelo
authors.initials: M
authors.lastname: Zylberman
authors.forename: Federico
authors.initials: F
authors.lastname: Losco
authors.forename: Carla
authors.initials: C
authors.lastname: Nicolini
authors.forename: Sebastián
authors.initials: S
authors.lastname: Halac
authors.forename: Karina
authors.initials: K
authors.lastname: Patane
authors.forename: Fernando
authors.initials: F
authors.lastname: Petracci
mesh_terms: D001943:Breast Neoplasms / Q000150:complications*; D018270:Carcinoma, Ductal, Breast / Q000150:complications*; D002916:Chylothorax / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010490:Pericardial Effusion / Q000209:etiology*; D020519:Pericardiocentesis; D014280:Triglycerides / Q000097:blood
chemical_list: D014280:Triglycerides
keywords: breast cancer; chylopericardium; chylothorax
vernacular_title: Quilopericardio y quilotórax bilateral en una mujer con cáncer de mama.