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Primary chylopericardium with pulmonary lymphedema.

Identifieur interne : 003203 ( PubMed/Corpus ); précédent : 003202; suivant : 003204

Primary chylopericardium with pulmonary lymphedema.

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

Source :

RBID : pubmed:18615382

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

Links to Exploration step

pubmed:18615382

Le document en format XML

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<title xml:lang="en">Primary chylopericardium with pulmonary lymphedema.</title>
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<name sortKey="Miyoshi, K" sort="Miyoshi, K" uniqKey="Miyoshi K" first="K" last="Miyoshi">K. Miyoshi</name>
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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="Okumura, N" sort="Okumura, N" uniqKey="Okumura N" first="N" last="Okumura">N. Okumura</name>
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<term>Lung Diseases (pathology)</term>
<term>Lung Diseases (surgery)</term>
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<term>Lymphangiectasis (surgery)</term>
<term>Lymphedema (complications)</term>
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<term>Hypoxia</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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