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Isolated chylopericardium secondary to intrathymic lymphangiomatous malformation

R Dogan1, M Demircin, A Sarigül

  • 1Department of Thoracic and Cardiovascular Surgery, Hacettepe University, School of Medicine, Ankara, Turkey.

Pediatric Cardiology
|November 1, 1996
PubMed

Insights

Chylopericardium, a rare condition, was successfully treated in a young patient with a thymic lymphangiomatous malformation. Surgical excision of the malformation and pericardiectomy resolved the recurrent pericardial effusion.

Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Pediatric Pathology

Background:

  • Chylopericardium is a rare condition characterized by the accumulation of chyle in the pericardial sac.
  • Lymphangiomatous malformations, particularly in the thymus, are uncommon causes of chylopericardium.

Observation:

  • A case of chylopericardium in a 2-year-old patient is presented.
  • Diagnosis was confirmed via pericardiocentesis and fluid analysis.
  • Recurrent pericardial effusion necessitated surgical intervention.

Findings:

  • The patient underwent pericardiectomy and excision of an intrathymic ectatic lymphangiomatous malformation.
  • Pathologic examination revealed diffuse hyperplasia and a tumor within the thymus.
  • The patient recovered fully without chyle reaccumulation.

Implications:

  • This case highlights the importance of considering intrathymic lymphangiomatous malformations in pediatric chylopericardium.
  • Surgical management, including thymectomy and pericardiectomy, can be curative.
  • Early diagnosis and intervention are crucial for favorable outcomes in rare pediatric thoracic conditions.

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