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Chylous metrorrhagia.

Insufficiency of the cisterna chyli may result in chyloperitoneum, chyluria, chyloedema of the lower limbs and rarest of all--chylous metrorrhagia. One case of the latter complication is fully described and one other briefly mentioned. Both were treated by excision of all the dilated lymphatics around the vena cava and iliac veins with good results. Both cases showed lacunae in the flat bones which may be related to the lymphatic dysplasia.

Adolescent↗
PubMed1985

Chylopericardium following cardiac surgery.

Chylopericardium is one of the rarest complications of cardiac surgery. The authors report only the 19th case, that of a 12-year-old boy. The chylopericardium developed after an aortic valvotomy, even though the retropericardial portion of the mediastinum was entered only to pass a tape around the ascending aorta. Etiologic factors are directly or indirectly related to injury to the thoracic duct or tis tributaries. Treatment initially is conservative, consisting of adequate pericardial drainage and a low-fat, medium-chain triglyceride diet. If this fails, the appropriate operative procedure is carried out.

Aortic Valve↗
PubMed1985

Chylous metrorrhea.

A nine-year-old girl with primary (idiopathic) chylous metrorrhea is described. Extravasation from retroperitoneal lymphatics into the vaginal vault was seen on dorsal pedal lymphangiography. Bony abnormalities were also present in the lumbosacral vertebrae. Nineteen months after transperitoneal lymphangiectomy she is asymptomatic.

Child↗