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Primary idiopathic chylopericardium: a case report

Published online by Cambridge University Press:  27 November 2012

Jian X. Tan*
Affiliation:
Department of Pediatrics, Affiliated Hospital of Guangdong Medical College, Zhanjiang, China
Yalin Fu
Affiliation:
Department of Pediatrics, Affiliated Hospital of Guangdong Medical College, Zhanjiang, China
Jie Chen
Affiliation:
Department of Thoracic Surgery, Affiliated Hospital of Guangdong Medical College, Zhanjiang, China
*
Correspondence to: Professor J. X. Tan, Department of Pediatrics, Affiliated Hospital of Guangdong Medical College, Renming Road, Zhanjiang 524023, China. Tel: 86-0759-2387981; Fax: 86-0759-2231754; E-mail: fyerke@tom.com

Abstract

Primary idiopathic chylopericardium is a rare disease, particularly in children. We report the case of a 5-year-old male child who presented with cough and dyspnoea. Bulging of the chest wall and distant heart sounds suggested the diagnosis of a pericardial effusion, which was confirmed on a chest computed tomography. Pericardial drainage confirmed the diagnosis of a chylopericardium. After the failure of continuous catheter drainage, surgical ligation of the thoracic duct and the creation of a pericardial window were performed under thoracoscopy.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2012 

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