Chylopericardium Detected by Forensic Autopsy

  • Ertuğrul Gök
  • Recep Fedakar
  • Okan Akan
Keywords: blunt trauma, autopsy, chylopericardium, causal link

Abstract

The purpose of this case report is to discuss a case of a 72-year- old woman with chylopericardium determined at forensic autopsy, together with the medicolegal dimensions and a brief review of the literature. She presented to a hospital with gastrointestinal symptoms five days after an assault resulting in injury that could have been resolved with a simple medical intervention. Following surgical treatment of incisional hernia and perforated colonic diverticulitis, the patient’s hemodynamics were stable, and monitoring and treatment were maintained. However, the patient died on the second day of hospitalization. Autopsy revealed that the pericardium was tense and that the cavity was filled with white, chylous fluid. A surgically sutured wound, areas of ecchymosis, membrane and point hemorrhage and adhesive areas were observed in the abdomen. No significant macroscopic findings of peritonitis were observed. Histopathological examination revealed edema in the lungs, expansion of the myocyte cytoplasm in the heart....

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References

Barton JC, Durant JR. Isolated chylopericardium associated with lymphoma. South Med J. 1980;73(11):1551.

Ateş A, Erkut B, Yekeler İ. Mitral kapak replasmanı sonrası şiloperikardiyum. AÜTD 2002;34(1):17–9

Gowani SA, Khowaja AA, Khan A, Fatimi SH. Chylopericardium-a rare complication after ventricular septal defect repair. J Pak Med Assoc. 2008;58 (4):218–9

Smedts F, Kubat K, Chande H. Chylopericardium and chylothorax, resulting from a catheter to the left subclavian vein: an autopsy report. Klin Wochenschr. 1989;67(23):1214–7

Cho BC, Kang SM, Lee SC, Moon JG, Lee DH, Lim SH. Primary idiopathic chylopericardium associated with cervicomediastinal cystic hygroma. Yonsei Med J. 2005;46(3):439–44

Erol MM, Kaplan ST, Kaplan S, Türüt H, Tekinbaş C. Management of Spontaneous Idiophatic Chylopericardium, Review of the Literature. İzzet Baysal Tıp Fakültesi Dergisi 2011;6(1):11–5

Cervantes-Salazar JL, Calderón-Colmenero JE, Ramírez-Marroquín S. Idiopathic chylopericardium. A case in point. Rev Esp Cardiol. 2007;60(8):884–5

Revere DJ, Makaryus AN, Bonaros EP Jr, Graver LM. Chylopericardium presenting as cardiac tamponade secondary to an anterior mediastinal cystic teratoma. Tex Heart Inst J. 2007;34(3):379–82

Mogulkoc N, Onal B, Okyay N, Günel O, Bayindir U. Chylothorax, chylopericardium and lymphoedema--the presenting features of signet-ring cell carcinoma. Eur Respir J. 1999;13:1489–91

Campbell RM, Benson LN, Williams WW, Adatia I. Chylopericardium after cardiac operations in children. Ann Thorac Surg. 2001;72(1):193–6

Papaioannou Y, Vomvoyannis A, Andritsakis G. Combined chylopericardium and chylothorax after total correction of Fallot's tetralogy. Thorac Cardiovasc Surg. 1984;32(2):115–6

Yıldırım T, Selimoğlu Ö, Çevik C, Öztürk İ, Öz FM, Kurtoğlu N, Oğuş NT. Chylopericardium following double valve replacement. Turkish J Thorac Cardiovasc Surg 2009;17(4):296–8

Ross P, Joseph S, Walker D. A case of isolated primary chylopericardium. Br Heart J. 1979;41(4):508–11.

Kawano H. Primary chylopericardium. J Cardiol Cases. 2012;5:e173–4

Kwon JB, Choi SY, Kim CK, Park CB. Primary idiopathic silent chylopericardium. J Cardiothorac Surg. 2013;8:28.

Salcı H, Yılmaz Z, Bayram AS, Yalçın E, Kaya M. Medical and Surgical Treatment of Chylothorax in a Dog with Right-Sided Heart Failure. Turk. J Vet Anim Sci. 2009;33(2):165–70

Wilmshurst PT, Burnie JP, Turner PR, Kubie A. Chylopericardium, chylothorax, and hypobetalipoproteinaemia. Br Med J (Clin Res Ed). 1986;293:483–4

Hattori H, Dakeshita E, Nakazato J, Takahashi T, Wake M, Hirata K, Yasumoto H, Tengan T, Mototake H. Primary chylopericardium treated by surgery: report of two cases. J Cardiol Cases. 2011;3:e106–10

Mitsui K, Namiki K, Matsumoto H, Konno F, Yoshida R, Miura S. Thoracoscopic treatment for primary chylopericardium: report of a case. Surg Today. 2005;35(1):76–9

López-Castilla JD, Soult JA, Falcón JM, Muñoz M, Santos J, Gavilan JL, Rodríguez A. Primary idiopathic chylopericardium in a 2 month old successfully treated without surgery. J Pediatr Surg. 2000;35(4):646–8

Published
2018-08-16
How to Cite
Gök, E., Fedakar, R., & Akan, O. (2018). Chylopericardium Detected by Forensic Autopsy. The Bulletin of Legal Medicine, 23(2), 138-141. https://doi.org/10.17986/blm.2016241708
Section
Case Reports

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