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
