Why the study?
Primary chylopericardium is a rare condition and a diagnosis of exclusion, with fewer than 150 cases reported in the literature.
Lymphoscintigraphy can be a useful imaging modality for diagnosing rare cases of recurrent primary chylopericardium.
Recurrent primary chylopericardium warrants consideration in unexplained effusions; extends sparse reports but leaves management open.
Chylopericardium is a clinical condition due to the accumulation of triglyceride-rich chylous fluid within the pericardial space. It may be primary (idiopathic), without any apparent cause or secondary to some precipitating factors, such as cardiac surgery, malignancy, trauma, infection and radiation. Primary chylopericardium is rare and a diagnosis of exclusion, so far less than 150 cases have been reported in the literature. The authors present a case of recurrent primary chylopericardium diagnosed by lymphoscintigraphy.
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Singh et al. (2023) studied this question.
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