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PubMedDate not supplied

[Malformations of the lacteals].

For the diagnosis of malformations of the lymphatics is made by the hyperlipidaemia test, which shows a flat total lipids curve without a post-prandial peak. Malformation of the lymphatics of the small intestine is responsible for exudative enteropathy, chyloperitoneum, chyluria, lymphoedema with reflux of lymph in the lymphatics of the legs and its complications (chylorrhagia, chylarthrosis), chylothorax, chylopericardium and reflux of lymph in the pulmonary lymphatics. This malformation can also be associated with other disorders : such as the syndrome of Klippel and Trenaunay, and simple lymphoedema of the limbs or genital organs. Lymphography of the intestinal lymphatics carried out during laparotomy after a fatty meal shows the state of the lymphatic vessels, a lack of injection of the cistern of Pecquet, and above all the presence of adventitious vessels allowing the lymph to reach the cervical region.

Adolescent↗
PubMed1984

Chylopericardium: a rare cause of pericardial effusion.

A 21 year old man presented with asymptomatic, isolated chylopericardium. Despite echocardiography, radionuclide-angiography, computer tomography, and chemical analysis of the chylous effusion, the etiology remained obscure. After patent blue dye infusion into peripheral soft tissues, the appearance of coloring material in the effusion at 4 hours suggested direct communication of the pericardium with an apparently large thoracic duct. Fifteen months later, cardiomegaly persists in site of medium-chain triglyceride dietary restriction.

Adult↗
PubMedDate not supplied

Treatment of cardiac tamponade due to isolated chylopericardium following open heart surgery.

Cardiac tamponade due to chylous fluid following open heart surgery in a 41-year-old man, is presented. To our knowledge, this is the fourth reported case in the English literature. Treatment included aspiration of the chylous fluid through a subxiphoid incision and creation of a fistula between the pericardium and peritoneum to prevent the loss of chylous fluid.

Adult↗
PubMed1984

[Chyluria].

Explore the source record for details and available documents.

Adult↗
PubMed1984

Computed tomography and lymphangiography in chyluria.

Computed tomographic findings following lymphangiography are presented in a patient with chyluria. The etiologies of chyluria and its pathogenesis are briefly discussed. Computed tomography in combination with lymphangiography may be indicated to establish or exclude associated retroperitoneal masses or lymph node enlargement and to better localize abnormal retroperitoneal and pelvic lymphatic vessels.

Chyle↗
PubMed1984

Primary chylopericardium associated with allergic alveolitis.

A 42-year-old woman with extrinsic allergic alveolitis and worsening dyspnea was found to have an enlarged cardiac silhouette. Primary chylopericardium was diagnosed when pericardiocentesis yielded the characteristic milky-white fluid containing microscopic fat droplets. The pericardial effusion resolved with prednisone therapy.

Adult↗