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

Omar S Obeidat; Bayan A Baniissa; Zakaria W Shkoukani; Abdullah N Alhouri

doi:10.4103/ajm.ajm_51_19

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

Avicenna J Med. 2019 Apr 1;10(2):89-92. doi: 10.4103/ajm.ajm_51_19. eCollection 2020 Apr-Jun.

Authors

Omar S Obeidat¹, Bayan A Baniissa², Zakaria W Shkoukani³, Abdullah N Alhouri³

Affiliations

¹ Division of Cardiology, Department of Internal Medicine, Jordan University Hospital, Amman, Jordan.
² Department of Internal Medicine, University of Jordan Hospital, Amman, Jordan.
³ Department of Internal Medicine, University of Jordan, Amman, Jordan.

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 types

Case Reports