The Journal of the Japanese Association for Chest Surgery
Online ISSN : 1881-4158
Print ISSN : 0919-0945
ISSN-L : 0919-0945
A case of chylopericardium following operation for right lung cancer
Shinji MurakawaTsutomu MaruiYukio Umeda
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2012 Volume 26 Issue 1 Pages 036-040


A 57-year-old man underwent thoracoscopic right lower lobectomy for primary lung cancer. Three months later, chest radiography showed an enlarged cardiac silhouette, and chest computed tomography showed a large pericardial effusion. Pericardiocentesis yielded 660 ml of milky fluid, confirming the diagnosis of chylopericardium. Lymphangiography revealed no injury to the thoracic duct. The patient was successfully treated with a thoracoscopic pericardial window. Chylopericardium following an operation for lung cancer is extremely rare. There are only 9 reported cases, including ours. Chylopericardium occurred after more than 20 days following right thoracotomy in 8 of the cases. Only one case occurred after left thoracotomy in the early postoperative period. We discuss and report this rare complication, along with a literature review.

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© 2012 The Japanese Association for Chest Surgery
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