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[Chyluria].

The authors present two cases of non-parasitic chyluries, with views of the right intrarenal fistula in one case, by means of lymphography and another which was more exceptional in its appearance, linked with sleeping and postural, apparently with a lymphographic blockage. Conservative treatment, based mainly on the diet, with the omission of long-chain triglcerides and poor in fats, produced good results.

Adult↗
PubMed1981

[Spontaneous chylopericardium. A case report (author's transl)].

The AA report an isolated case of chylopericardium in an 11 years old female as anomalous communication between the thoracic duct and pericardium. The origin of this clinically asymptomatic effusion was observed after lynphography, where, two months later a simple surgical drainage was applied without success. A positive result was obtained by a new surgical procedure which consisted of a pleuro pericardial window. The AA. emphisise on a very rare case of spontaneous pericardial effusion not accompanied by lynphatic stasis in other districts (only 32 observations in Literature). An accurate lynphographic study is obligatory once the nature of the liquid has been accertained in order to avoid a certain recurrence when a simple drainage is applied.

Child↗
PubMed1982

[Non-invasive diagnosis of isolated chylopericardium using precordial pericardial imaging after oral administration of 131I-triolein: report of a case].

Chylopericardium is a rare disease and affects both sexes equally from neonate to adult. Usually, there are abnormal connections between the pericardial cavity and thoracic lymphatic systems. These connections are detected by (1) recovery of orally administered Sudan III from pericardial fluid, (2) evidence of radioactivity in the pericardial fluid by paracentesis after oral administration of 131I-labeled triolein, and (3) lymphangiography. However, these method are technically difficult and invasive, thus sometimes dangerous for children. We employed precordial pericardial imaging after oral administration of 131I-labeled triolein on a 9-year-old Japanese girl with isolated chylopericardium before and after surgery. Abnormal connections and the back-ward flow to the pulmonary lymphatics were demonstrated by this method. This is an easy, non-invasive, reliable and safe method for detecting the abnormal connections of pericardial and lymphatic systems in children with chylopericardium.

Child↗
PubMed1981

Isolated chylopericardium after cardiac operations.

Case histories are reported of four patients having chylopericardium following cardiac operations. This entity can be recognized by noting the presence of postprandial milky mediastinal drainage that stains positive for fat with Sudan III. Chylopericardium is caused by operative injury to the thoracic duct, by operative injury to tributaries of the thoracic duct, or by thrombosis at the confluence of the left subclavian and jugular veins with subsequent obstruction of thoracic duct drainage. Appropriate management, which may be either conservative or operative, depends upon the volume and duration of drainage. The conservative approach entails adequate pericardial drainage and institution of a medium-chain triglyceride diet; operative therapy entails ligation of the thoracic duct low in the posterior mediastinum.

Adult↗