Management of post biopsy hemopericardium and chylopericardium by angiographic embolisation and retrograde transvenous embolisation of thoracic duct in a case of mediastinal lymphovascular malformation, followed by successful treatment by percutaneous sclerotherapy.

Posted By Amrita Narang
Management of post biopsy hemopericardium and chylopericardium by angiographic embolisation and retrograde transvenous embolisation of thoracic duct in a case of mediastinal lymphovascular malformation, followed by successful treatment by percutaneous sclerotherapy.

Gender, Age

Male, 21

Diagnosis

mediastinal lymphovascular embolisation

History

Hemopericardium is a well documented complication following biopsy of mediastinal mass. Chylopericardium can occur following cardiothoracic surgery, trauma or mediastinal hygromas, lymphangiomas, lymphoma and other malignancies . We describe an unusual case of hemopericardium following CT guided biopsy of anterior mediastinal lymphovascular malformation which was managed with pericardiocentesis and angiographic embolisation of branch of left internal mammary artery identified as the source of hemorrhage. Cessation of bleeding revealed the nature of pericardial drain to be chylous which was managed by transvenous retrograde embolisation of thoracic duct and percutaneous sclerotherapy of the venolymphatic malformation .

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Comments
  • Roland Talanow 2020-05-02 14:25:44

    Nice case but not sure if case report worthy. Description too insufficient to decide. Image is also too small to evaluate findings.

    Reply