Idiopathic Chylopericardium in a Young Adult: Diagnosis and Management

Abstract

Primary idiopathic chylopericardium (PIC) is an uncommon cardiologic disorder; it is defined as accumulation of lymph in the pericardial sac without any know precipitating factor. A 25-year-old presented with dyspnea and chest pain for over two months. The patient underwent a chest X-ray, which revealed an enlargement of cardiac silhouette and signs of cardiac tamponade. Chest CT was performed, revealing large pericardial effusion and small pleural effusion on the right hemithorax. The patient was referred to the ICU and underwent a pericardial window through VATS, which revealed 500 ml of a milky fluid.

Delayed chylopericardium after radical surgery for esophageal cancer: a case report

“…A specific gravity of 1.014-1.025, a low cholesterol concentration and a high triglyceride concentration (triglyceride concentration of >500 mg/dL; cholesterol/triglyceride ratio of <1), a high protein content (>35 g/L), abundant lymphocytes, adding which quickly become clear after the addition of ether. After Sudan III staining, fat globules can be seen under the microscope ( 5 , 6 ). The patient in the present case underwent chest CT and echocardiography, which showed a large amount of pericardial effusion, and the pericardial drainage fluid was milky white in color.…”