Delayed chylopericardium after radical surgery for esophageal cancer: a case report

BackgroundPostoperative chylpericardium is a rare clinical disease that often manifests as chest tightness, shortness of breathdyspnea, and other symptoms of pericardial tamponade. The etiological spectrum of chylopericardium is complex, but the disease is mainly idiopathic. Chylopericardium caused...

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Main Authors: Pengjie Yang, Rui Han, Benben Zhu, Yu Wu, Bater Han
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1163618/full
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author Pengjie Yang
Rui Han
Benben Zhu
Yu Wu
Bater Han
author_facet Pengjie Yang
Rui Han
Benben Zhu
Yu Wu
Bater Han
author_sort Pengjie Yang
collection DOAJ
description BackgroundPostoperative chylpericardium is a rare clinical disease that often manifests as chest tightness, shortness of breathdyspnea, and other symptoms of pericardial tamponade. The etiological spectrum of chylopericardium is complex, but the disease is mainly idiopathic. Chylopericardium caused by thoracic surgery is rarely reported, both at home and abroad.Case summaryWe report a case of a 65-year-old male patient who developed chylopericardium after thoracoabdominal combined incision and partial esophagogastric anastomosis plus lymph node dissection for 1 month. After pericardiocentesis and drainage, low-fat enteral nutrition, and parenteral nutrition, the patient was cured. Based on this case, this article reviews the literature on the diagnosis and treatment of chylopericardium after thoracic surgery.ConclusionIn conclusion, thoracic surgery (excluding cardiac surgery) can cause delayed chylopericardium. This condition is rarely reported in China, and only a few cases have been reported abroad. Thus, the diagnosis is likely to be missed or misdiagnosed. Early diagnosis and treatment are important to reduce patient discomfort as much as possible.
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spelling doaj.art-d22114d7dc604a0b86b3bd4773a2aa9b2023-07-13T00:27:46ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-07-011310.3389/fonc.2023.11636181163618Delayed chylopericardium after radical surgery for esophageal cancer: a case reportPengjie Yang0Rui Han1Benben Zhu2Yu Wu3Bater Han4Department of Thoracic Surgery, Peking University Cancer Hospital Inner Mongolia Hospital/Cancer Hospital Affiliated to Inner Mongolia Medical University, Hohhot, ChinaDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Pharmacy, Peking University Cancer Hospital Inner Mongolia Hospital/Cancer Hospital Affiliated to Inner Mongolia Medical University, Hohhot, ChinaDepartment of Nuclear Medicine, Peking University Cancer Hospital Inner Mongolia Hospital/Cancer Hospital Affiliated to Inner Mongolia Medical University, Hohhot, ChinaDepartment of Thoracic Surgery, Peking University Cancer Hospital Inner Mongolia Hospital/Cancer Hospital Affiliated to Inner Mongolia Medical University, Hohhot, ChinaBackgroundPostoperative chylpericardium is a rare clinical disease that often manifests as chest tightness, shortness of breathdyspnea, and other symptoms of pericardial tamponade. The etiological spectrum of chylopericardium is complex, but the disease is mainly idiopathic. Chylopericardium caused by thoracic surgery is rarely reported, both at home and abroad.Case summaryWe report a case of a 65-year-old male patient who developed chylopericardium after thoracoabdominal combined incision and partial esophagogastric anastomosis plus lymph node dissection for 1 month. After pericardiocentesis and drainage, low-fat enteral nutrition, and parenteral nutrition, the patient was cured. Based on this case, this article reviews the literature on the diagnosis and treatment of chylopericardium after thoracic surgery.ConclusionIn conclusion, thoracic surgery (excluding cardiac surgery) can cause delayed chylopericardium. This condition is rarely reported in China, and only a few cases have been reported abroad. Thus, the diagnosis is likely to be missed or misdiagnosed. Early diagnosis and treatment are important to reduce patient discomfort as much as possible.https://www.frontiersin.org/articles/10.3389/fonc.2023.1163618/fullchylopericardiuma case reportesophageal cancerradical surgerythoracic
spellingShingle Pengjie Yang
Rui Han
Benben Zhu
Yu Wu
Bater Han
Delayed chylopericardium after radical surgery for esophageal cancer: a case report
Frontiers in Oncology
chylopericardium
a case report
esophageal cancer
radical surgery
thoracic
title Delayed chylopericardium after radical surgery for esophageal cancer: a case report
title_full Delayed chylopericardium after radical surgery for esophageal cancer: a case report
title_fullStr Delayed chylopericardium after radical surgery for esophageal cancer: a case report
title_full_unstemmed Delayed chylopericardium after radical surgery for esophageal cancer: a case report
title_short Delayed chylopericardium after radical surgery for esophageal cancer: a case report
title_sort delayed chylopericardium after radical surgery for esophageal cancer a case report
topic chylopericardium
a case report
esophageal cancer
radical surgery
thoracic
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1163618/full
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AT yuwu delayedchylopericardiumafterradicalsurgeryforesophagealcanceracasereport
AT baterhan delayedchylopericardiumafterradicalsurgeryforesophagealcanceracasereport