Serveur d'exploration sur le lymphœdème

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Primary chylopericardium with pulmonary lymphedema.

Identifieur interne : 006974 ( Main/Exploration ); précédent : 006973; suivant : 006975

Primary chylopericardium with pulmonary lymphedema.

Auteurs : K. Miyoshi [Japon] ; T. Nakagawa ; Y. Kokado ; T. Matsuoka ; K. Kameyama ; N. Okumura

Source :

RBID : pubmed:18615382

Descripteurs français

English descriptors

Abstract

Primary chylopericardium is an uncommon entity, and its association with pulmonary lymphedema has been rarely reported.We describe a case of primary chylopericardium with pulmonary lymphedema developing into hypoxemia. The pulmonary lesions were histologically diagnosed as pulmonary lymphangiectasis and lymphedema on lung biopsies. Lymphedema seems to suggest the existence of chylous reflux with pulmonary lymphangiectasis. The patient underwent pericardial fenestration and resection of the thoracic duct. After the operation, the chylous accumulation in the pericardial cavity had disappeared,and hypoxemia improved following the disappearance of the pulmonary lesions.

DOI: 10.1055/s-2006-955952
PubMed: 18615382


Affiliations:


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Le document en format XML

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<nlm:affiliation>Thoracic Surgery, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, Okayama, Japan. kmiyosh@almond.ocn.ne.jp</nlm:affiliation>
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<name sortKey="Nakagawa, T" sort="Nakagawa, T" uniqKey="Nakagawa T" first="T" last="Nakagawa">T. Nakagawa</name>
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<name sortKey="Kokado, Y" sort="Kokado, Y" uniqKey="Kokado Y" first="Y" last="Kokado">Y. Kokado</name>
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<name sortKey="Matsuoka, T" sort="Matsuoka, T" uniqKey="Matsuoka T" first="T" last="Matsuoka">T. Matsuoka</name>
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<name sortKey="Kameyama, K" sort="Kameyama, K" uniqKey="Kameyama K" first="K" last="Kameyama">K. Kameyama</name>
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<name sortKey="Kokado, Y" sort="Kokado, Y" uniqKey="Kokado Y" first="Y" last="Kokado">Y. Kokado</name>
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<name sortKey="Matsuoka, T" sort="Matsuoka, T" uniqKey="Matsuoka T" first="T" last="Matsuoka">T. Matsuoka</name>
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<name sortKey="Kameyama, K" sort="Kameyama, K" uniqKey="Kameyama K" first="K" last="Kameyama">K. Kameyama</name>
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<name sortKey="Okumura, N" sort="Okumura, N" uniqKey="Okumura N" first="N" last="Okumura">N. Okumura</name>
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<title level="j">The Thoracic and cardiovascular surgeon</title>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Female</term>
<term>Humans</term>
<term>Hypoxia (etiology)</term>
<term>Lung Diseases (complications)</term>
<term>Lung Diseases (pathology)</term>
<term>Lung Diseases (surgery)</term>
<term>Lymphangiectasis (complications)</term>
<term>Lymphangiectasis (pathology)</term>
<term>Lymphangiectasis (surgery)</term>
<term>Lymphedema (complications)</term>
<term>Lymphedema (pathology)</term>
<term>Lymphedema (surgery)</term>
<term>Middle Aged</term>
<term>Pericardial Effusion (complications)</term>
<term>Pericardial Effusion (pathology)</term>
<term>Pericardial Effusion (surgery)</term>
<term>Pericardium (surgery)</term>
<term>Radiography, Thoracic</term>
<term>Reoperation</term>
<term>Thoracic Duct (surgery)</term>
<term>Tomography, X-Ray Computed</term>
<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
<term>Conduit thoracique ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hypoxie (étiologie)</term>
<term>Lymphangiectasie ()</term>
<term>Lymphangiectasie (anatomopathologie)</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Maladies pulmonaires ()</term>
<term>Maladies pulmonaires (anatomopathologie)</term>
<term>Péricarde ()</term>
<term>Radiographie thoracique</term>
<term>Réintervention</term>
<term>Résultat thérapeutique</term>
<term>Tomodensitométrie</term>
<term>Épanchement péricardique ()</term>
<term>Épanchement péricardique (anatomopathologie)</term>
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<term>Lymphangiectasie</term>
<term>Lymphoedème</term>
<term>Maladies pulmonaires</term>
<term>Épanchement péricardique</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Lung Diseases</term>
<term>Lymphangiectasis</term>
<term>Lymphedema</term>
<term>Pericardial Effusion</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Hypoxia</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Lung Diseases</term>
<term>Lymphangiectasis</term>
<term>Lymphedema</term>
<term>Pericardial Effusion</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Lung Diseases</term>
<term>Lymphangiectasis</term>
<term>Lymphedema</term>
<term>Pericardial Effusion</term>
<term>Pericardium</term>
<term>Thoracic Duct</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Hypoxie</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Radiography, Thoracic</term>
<term>Reoperation</term>
<term>Tomography, X-Ray Computed</term>
<term>Treatment Outcome</term>
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<term>Conduit thoracique</term>
<term>Femelle</term>
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<term>Lymphangiectasie</term>
<term>Lymphoedème</term>
<term>Maladies pulmonaires</term>
<term>Péricarde</term>
<term>Radiographie thoracique</term>
<term>Réintervention</term>
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<div type="abstract" xml:lang="en">Primary chylopericardium is an uncommon entity, and its association with pulmonary lymphedema has been rarely reported.We describe a case of primary chylopericardium with pulmonary lymphedema developing into hypoxemia. The pulmonary lesions were histologically diagnosed as pulmonary lymphangiectasis and lymphedema on lung biopsies. Lymphedema seems to suggest the existence of chylous reflux with pulmonary lymphangiectasis. The patient underwent pericardial fenestration and resection of the thoracic duct. After the operation, the chylous accumulation in the pericardial cavity had disappeared,and hypoxemia improved following the disappearance of the pulmonary lesions.</div>
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<name sortKey="Kokado, Y" sort="Kokado, Y" uniqKey="Kokado Y" first="Y" last="Kokado">Y. Kokado</name>
<name sortKey="Matsuoka, T" sort="Matsuoka, T" uniqKey="Matsuoka T" first="T" last="Matsuoka">T. Matsuoka</name>
<name sortKey="Nakagawa, T" sort="Nakagawa, T" uniqKey="Nakagawa T" first="T" last="Nakagawa">T. Nakagawa</name>
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