Document Detail


Isolated chylopericardium.
MedLine Citation:
PMID:  15570769     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 25-year-old male was discovered to have an asymptomatic pericardial effusion during routine pre-employment medical evaluation. During pericardiocentesis 1200 ml of milky-white fluid was obtained; subsequent biochemical evaluation confirmed the chylous nature of this fluid. Following thorough evaluation a diagnosis of isolated chylopericardium was made. Following several recurrences he underwent thoracotomy with ligation of the thoracic duct and creation of a pericardial window. There are relatively few published reports of true isolated chylopericardium and the aetiology and pathogenesis remain unknown. A primary abnormality of the thoracic lymphatic valve system is postulated. The most effective treatment is surgical with ligation of the thoracic duct above the diaphragm and creation of a pericardial window
Authors:
N G Mahon; L Nölke; H McCann; D Sugrue; J Hurley
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland     Volume:  1     ISSN:  1479-666X     ISO Abbreviation:  Surgeon     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2004-12-01     Completed Date:  2004-12-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101168329     Medline TA:  Surgeon     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  236-8     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, Mater Misericordiae Hospital, Eccles St., Dublin, Ireland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Chyle
Humans
Male
Pericardial Effusion* / etiology,  radiography,  surgery
Recurrence

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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