A Case of Chylopericardium Caused by Chylous Pleural Effusion Inflow from a Damaged Pericardium during Operation for Right Lung Cancer

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  • 右上葉肺癌術中の心膜損傷部からの乳糜胸水流入で発症した乳糜心膜症の1例
  • ミギウエ ヨウ ハイガン ジュッチュウ ノ シンマク ソンショウブ カラ ノ ニュウビキョウ ミズリュウニュウ デ ハッショウ シタ ニュウビシンマクショウ ノ 1レイ

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Abstract

<p>A 60-year-old woman had thoracoscopic right upper lobectomy with mediastinal lymph node dissection (ND2a-1) for primary cancer of the right upper lobe of lung (cT1cN0M0 Stage IA3) and was discharged from our hospital on postoperative day 4. However, she was emergently brought into our hospital on postoperative day 12 due to right chest pain with decreased blood pressure. Transthoracic echocardiography revealed a large amount of pericardial effusion. She was diagnosed with cardiac tamponade, and a pericardiocentesis was performed. The aspirated fluid showed features of chyle. She was diagnosed with chylopericardium and was discharged on 23rd postoperative day. She was readmitted on 37th postoperative day and was discharged on 54th postoperative day. In our case, conservative treatments including pericardiocentesis and dietary measures were successful. Even though chylopericardium following lung cancer surgery is an extremely rare complication, it can lead to other life-threatening complications like cardiac tamponade. Therefore, we suggest that the possibility of this complication after lung cancer surgery should be considered.</p>

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