Key result
Chemotherapy after pericardiocentesis resolves cardiac tamponade and recurrent chylopericardium in mediastinal NHL.
Case Report (n=1)
Chylopericardium secondary to non-Hodgkin's lymphoma is a rare cause of cardiac tamponade that can be managed with pericardiocentesis and chemotherapy.
Consider chylopericardium in tamponade with mediastinal masses; extends rare etiology list but leaves management open.
Cardiac tamponade, the accumulation of fluid in the pericardial space, leads to impaired venous return, loss of left ventricular preload and haemodynamic collapse. Chylopericardium is an unusual cause of the pericardial effusion. This is often secondary to malignancy. Non-Hodgkin's Lymphoma is a primary malignancy from the lymph node. It can be produced by B lymphocytes, T lymphocytes or natural killer cells. The term chylopericardium refers to a pericardial effusion containing milky fluid within the intrapericardial space. We present a case of a 42-year-old male patient who came with dyspnoea as a result of cardiac tamponade caused by a massive milky pericardial effusion (chylopericardium) secondary to mediastinal non-Hodgkin's lymphoma.
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Alsagaff et al. (2022) conducted a case report in Cardiac tamponade and chylopericardium secondary to non-Hodgkin's lymphoma (n=1). Chemotherapy after pericardiocentesis was evaluated. Chemotherapy after pericardiocentesis was the key management for a 42-year-old male presenting with cardiac tamponade and recurrent chylopericardium secondary to mediastinal non-Hodgkin's lymphoma.
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