Primary chylopericardium.

Abstract

In a 23-year-old man with massive chylous pericardial effusion, oral administration of Sudan III and radio-active 131iodine-labelled triolein revealed an abnormal communication between the lymphatic system and the pericardial sac. Despite partial pericardiectomy and resection of the thoracic duct, the fluid reaccumulated, and a postoperative lymphangiogram showed an obstructed left thoracic duct. Resection of this left thoracic duct resulted in full recovery. This is the first reported case of this disease with a duplicate thoracic duct. Careful attention must be paid to the possibility of this variation before and during surgery.

• Authors: T Kannagi, G Osakada, A Wakabayashi, C Kawai, M Matsuda, S Miki
• Journal: Chest (Chest) Vol. 81 Issue 1 Pg. 105-8 (Jan 1982) ISSN: 0012-3692 [Print] United States
• PMID: 7053929 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Chyle
• Humans
• Lymphography
• Male
• Pericardial Effusion (surgery)
• Thoracic Duct (diagnostic imaging, surgery)