Case Reports in Critical Care (2019-01-01)

Chylous Cardiac Tamponade with Chylothoraces Secondary to Hodgkin’s Lymphoma: Octreotide in Conjuncture with Standard of Care Dietary Fat Restriction

  • John O’Donnell,
  • Jay Kirkham,
  • Duane Monteith,
  • Christopher Frontario,
  • Rahul Sharma,
  • Brianna Higgins

DOI
https://doi.org/10.1155/2019/1406840
Journal volume & issue
Vol. 2019

Abstract

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Chylous effusions are a well-known complication from a variety of etiologies including trauma, malignancies, and anatomic defects, with the most common location being in the pleural space. A pericardial chylous effusion (chylopericardium) is uncommon, and a chylopericardium with concomitant bilateral chylous pleural effusions (chylothoraces) has only been reported in less than a handful of case reports. Our patient presented with bilateral chylothoraces and a chylopericardium with tamponade physiology secondary to Hodgkin’s Lymphoma. In this article, we discuss our treatment of this patient with the somatostatin analogue octreotide, as well as the standard of care dietary fat restriction, in order to control these effusions until the patient’s chemotherapy took effect.