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CC BY-NC-ND 4.0 · Avicenna J Med 2020; 10(02): 89-92
DOI: 10.4103/ajm.ajm_51_19
Case Report

Mediastinal lymphoma-induced superior vena cava syndrome and chylopericardium in a pregnant lady: a case report

Omar S Obeidat
Division of Cardiology, Department of Internal Medicine, Jordan University Hospital
,
Bayan A Baniissa
Department of Internal Medicine, University of Jordan Hospital
,
Zakaria W Shkoukani
Department of Internal Medicine, University of Jordan, Amman, Jordan
,
Abdullah N Alhouri
Department of Internal Medicine, University of Jordan, Amman, Jordan
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Subject Editor: Financial support and sponsorship Nil.
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Abstract

Mediastinal malignancies are a commonly identified etiology in superior vena cava syndrome (SVCS), and despite the known management of chemotherapy, radiotherapy, or a combination of both, this can prove to be a dilemma during pregnancy. Reported cases of SVCS management during pregnancy are scarce. Chylopericardium is a rare entity with a myriad of causes, the most common of which is a primary idiopathic origin. Initial management depends on the presence or absence of cardiac tamponade. Long-term therapy is a matter of serious debate, with some opting for conservative treatment, and others favoring a more invasive surgical approach. Cases reporting the occurrence of chylopericardium in association with pregnancy are also limited. In this report, we discuss the case of a 28-year-old pregnant woman who had both SVCS and chylopericardium as a result of a mediastinal lymphoma.

Keywords

Chyle - chylopericardium - lymphoma - mediastinum - pregnancy - superior vena cava syndrome - tamponade


Publication History

Article published online:
04 August 2021

© 2020. Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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