Recurrent Primary Chylopericardium: An Unusual Cause of Cardiac Tamponade
Journal Title: Saudi Journal of Medicine - Year 2016, Vol 1, Issue 1
Abstract
Abstract: Chylopericardium is a rare clinical entity in which chylous fluid accumulates in the pericardial cavity. We report a case of recurrent massive idiopathic chylopericardium with tamponade in a 3-year-old infant with no history of trauma, thoracic surgery, malignancy, infection or tuberculosis. Echocardiography showed a large amount of pericardial effusions with evidence of tamponade. And 450 mL of fluid was evacuated by pericardiocentesis. She successfully responded to 30 days of continuous pericardial drainage and 15 days of a medium-chain triglyceride diet. We conclude that if a patient is asymptomatic and can well tolerate daily life, surgery including surgical ligation of the thoracic duct and creation of a pericardial window is not necessarily required. Keywords: Cardiac tamponade; chylous pericarditis; pericardial effusion; conservative treatment.
Authors and Affiliations
A. Babakhouya, M. El kouache, S. Atmani, M. Hida
Keywords
Related Articles
- EP ID EP386354
- DOI -
- Views 125
- Downloads 0
Acute Pancreatitis: An Extremely Rare Complication of Etoricoxib
Abstract:Acute pancreatitis is the acute inflammation of the pancreas. It can be resulted due to many causes. Acute pancreatitis due to non-steroidal anti-inflammatory drugs is not commonly observed in the clinical pract...
Trend of using of smart phones by medical students
Abstract: Medical education has undergone major changes from teacher centered to student centered, from discipline based to integrated, from hospital based to community based curriculum and is more focused on formative l...
Effect of sugar intake towards human health
Abstract: Sugars belong to glycan/carbohydrate group of chemicals. Realisation of their sweetness was earlier as compared to its use as an energy source and an important dietary component. Although sugar is vital for def...
A Comparative Study of Lichtenstein Tension Free Hernia Repair in Local Anaesthesia versus Spinal Anaesthesia
Abstract:The incidence of inguinal hernia is very common especially in older individuals. Often patients are unaware of the presence due to absence of any symptoms unless detected accidentally or detected in those causin...
Surgical Management of Bimalleolar Fractures of Ankle in Adults
Abstract:Ankle fractures are the most common type of fractures treated by orthopedic surgeons in daily practice. Most of these fractures are complex type and difficult to manage. If not treated properly, may produce sign...