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Recurrent chylopericardium in a patient with history of left leg sarcoma
Aihab Aboukheir-Aboukheir1, Paloma M Lugo-Perez2, Eduardo Colon-Melendez2
1Department of General Surgery, Hospital Episcopal San Lucas, Ponce, Puerto Rico.
Abstract:
Chylopericardium is a rare condition that is characterized by the presence of chyle in the pericardial space due to idiopathic (primary) or secondary causes. We present a 43-year-old female with hypothyroidism and left lower extremity sarcoma which were treated with resection and adjuvant chemoradiotherapy that was found with moderate pericardial effusion in surveillance tests. The patient was initially treated with tube thoracostomy and conservative management but presented with recurrence. Eventually, she was treated with left thoracotomy, ligation of the thoracic duct and pericardiectomy.
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