Primary chylopericardium with pulmonary lymphedema.
Identifieur interne : 006974 ( Main/Exploration ); précédent : 006973; suivant : 006975Primary chylopericardium with pulmonary lymphedema.
Auteurs : K. Miyoshi [Japon] ; T. Nakagawa ; Y. Kokado ; T. Matsuoka ; K. Kameyama ; N. OkumuraSource :
- The Thoracic and cardiovascular surgeon [ 0171-6425 ] ; 2008.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Conduit thoracique (), Femelle, Humains, Hypoxie (étiologie), Lymphangiectasie (), Lymphangiectasie (anatomopathologie), Lymphoedème (), Lymphoedème (anatomopathologie), Maladies pulmonaires (), Maladies pulmonaires (anatomopathologie), Péricarde (), Radiographie thoracique, Réintervention, Résultat thérapeutique, Tomodensitométrie, Épanchement péricardique (), Épanchement péricardique (anatomopathologie).
- MESH :
- anatomopathologie : Lymphangiectasie, Lymphoedème, Maladies pulmonaires, Épanchement péricardique.
- étiologie : Hypoxie.
- Adulte d'âge moyen, Conduit thoracique, Femelle, Humains, Lymphangiectasie, Lymphoedème, Maladies pulmonaires, Péricarde, Radiographie thoracique, Réintervention, Résultat thérapeutique, Tomodensitométrie, Épanchement péricardique.
English descriptors
- KwdEn :
- Female, Humans, Hypoxia (etiology), Lung Diseases (complications), Lung Diseases (pathology), Lung Diseases (surgery), Lymphangiectasis (complications), Lymphangiectasis (pathology), Lymphangiectasis (surgery), Lymphedema (complications), Lymphedema (pathology), Lymphedema (surgery), Middle Aged, Pericardial Effusion (complications), Pericardial Effusion (pathology), Pericardial Effusion (surgery), Pericardium (surgery), Radiography, Thoracic, Reoperation, Thoracic Duct (surgery), Tomography, X-Ray Computed, Treatment Outcome.
- MESH :
- complications : Lung Diseases, Lymphangiectasis, Lymphedema, Pericardial Effusion.
- etiology : Hypoxia.
- pathology : Lung Diseases, Lymphangiectasis, Lymphedema, Pericardial Effusion.
- surgery : Lung Diseases, Lymphangiectasis, Lymphedema, Pericardial Effusion, Pericardium, Thoracic Duct.
- Female, Humans, Middle Aged, Radiography, Thoracic, Reoperation, Tomography, X-Ray Computed, Treatment Outcome.
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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<affiliation wicri:level="1"><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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<wicri:regionArea>Thoracic Surgery, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, Okayama</wicri:regionArea>
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<author><name sortKey="Kokado, Y" sort="Kokado, Y" uniqKey="Kokado Y" first="Y" last="Kokado">Y. Kokado</name>
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<author><name sortKey="Matsuoka, T" sort="Matsuoka, T" uniqKey="Matsuoka T" first="T" last="Matsuoka">T. Matsuoka</name>
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<author><name sortKey="Kameyama, K" sort="Kameyama, K" uniqKey="Kameyama K" first="K" last="Kameyama">K. Kameyama</name>
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<author><name sortKey="Kokado, Y" sort="Kokado, Y" uniqKey="Kokado Y" first="Y" last="Kokado">Y. Kokado</name>
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<author><name sortKey="Matsuoka, T" sort="Matsuoka, T" uniqKey="Matsuoka T" first="T" last="Matsuoka">T. Matsuoka</name>
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<author><name sortKey="Kameyama, K" sort="Kameyama, K" uniqKey="Kameyama K" first="K" last="Kameyama">K. Kameyama</name>
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<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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<keywords scheme="KwdFr" xml:lang="fr"><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>
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<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>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>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hypoxia</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lung Diseases</term>
<term>Lymphangiectasis</term>
<term>Lymphedema</term>
<term>Pericardial Effusion</term>
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<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>
<term>Humains</term>
<term>Lymphangiectasie</term>
<term>Lymphoedème</term>
<term>Maladies pulmonaires</term>
<term>Péricarde</term>
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<term>Réintervention</term>
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<front><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>
</front>
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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>
<name sortKey="Okumura, N" sort="Okumura, N" uniqKey="Okumura N" first="N" last="Okumura">N. Okumura</name>
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<country name="Japon"><noRegion><name sortKey="Miyoshi, K" sort="Miyoshi, K" uniqKey="Miyoshi K" first="K" last="Miyoshi">K. Miyoshi</name>
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