Citation Information :
Chawla AK, Singh L, Agrawal A, Tandon R. Bilateral Chylothorax with Chylopericardium. Indian J Chest Dis Allied Sci 2017; 59 (3):147-150.
A 35-year-old male patient presented with complaints of breathlessness and left-sided chest pain of five days duration. Physical examination revealed a left-sided massive pleural effusion, right-sided moderate pleural effusion and pericardial effusion. Laboratory examination revealed a high triglyceride content in the pleural and pericardial fluids suggestive of chylous pleural effusion and chylopericardium. Further investigations confirmed the diagnosis of malignant lymphoma (thymic large B-cell lymphoma). The report was confirmed with immunohistochemistry markers, by tru-cut biopsy from mediastinal mass. Bilateral chylothorax with chylopericardium is a rare entity and this condition secondary to lymphoma has a poor prognosis.
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