{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T03:46:03Z","timestamp":1776051963988,"version":"3.50.1"},"reference-count":13,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,4,29]]},"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:p>Cardiac tamponade, the accumulation of fluid in the pericardial space, leads to impaired venous return, loss of left ventricular preload and haemodynamic collapse. Chylopericardium is an unusual cause of the pericardial effusion. This is often secondary to malignancy. Non-Hodgkin\u2019s Lymphoma is a primary malignancy from the lymph node. It can be produced by B lymphocytes, T lymphocytes or natural killer cells. The term chylopericardium refers to a pericardial effusion containing milky fluid within the intrapericardial space. We present a case of a 42-year-old male patient who came with dyspnoea as a result of cardiac tamponade caused by a massive milky pericardial effusion (chylopericardium) secondary to mediastinal non-Hodgkin\u2019s lymphoma.<\/jats:p>","DOI":"10.1136\/bcr-2022-249675","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T13:44:25Z","timestamp":1653313465000},"page":"e249675","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Tamponade with recurrent chylopericardium in patient with non-Hodgkin\u2019s lymphoma: chemotherapy is the key management after pericardiocentesis"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2194-6850","authenticated-orcid":false,"given":"Mochamad Yusuf","family":"Alsagaff","sequence":"first","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, Airlangga University, Surabaya, East Java, Indonesia"},{"name":"Department of Cardiology and Vascular Medicine, Universitas Airlangga Hospital, Surabaya, East Java, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9584-9813","authenticated-orcid":false,"given":"Ni Putu Anggun","family":"Laksmi","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, Airlangga University, Surabaya, East Java, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irma","family":"Maghfirah","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, Airlangga University, Surabaya, East Java, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hendri","family":"Susilo","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, Universitas Airlangga Hospital, Surabaya, East Java, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,5,17]]},"reference":[{"key":"2025082803493827000_15.5.e249675.1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv318"},{"key":"2025082803493827000_15.5.e249675.2","unstructured":"Revere DJ , Makaryus AN , Bonaros EP . Chylopericardium presenting as cardiac tamponade secondary to an anterior mediastinal cystic teratoma brief communication, 2007."},{"key":"2025082803493827000_15.5.e249675.3","doi-asserted-by":"crossref","first-page":"1318","DOI":"10.1016\/j.jaccas.2021.06.011","article-title":"Symptomatic recurrent chylopericardium: how to manage this rare entity?","volume":"3","author":"Agrawal","year":"2021","journal-title":"JACC Case Rep"},{"key":"2025082803493827000_15.5.e249675.4","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2005.120899"},{"key":"2025082803493827000_15.5.e249675.5","unstructured":"Hoit BD . Cardiac tamponade. In: Gersh BJ , Hoekstra J , Yeon SB , eds. UpToDate. Post TW. Waltham, MA: UpToDate, 2021."},{"key":"2025082803493827000_15.5.e249675.6","doi-asserted-by":"crossref","first-page":"133","DOI":"10.4103\/0970-2113.80330","article-title":"Bilateral chylothorax, chylopericardium and chylous ascitis","volume":"28","author":"Kashyap","year":"2011","journal-title":"Lung India"},{"key":"2025082803493827000_15.5.e249675.7","doi-asserted-by":"crossref","unstructured":"O\u2019donnell J , Kirkham J , Monteith D . Chylous Cardiac Tamponade with Chylothoraces Secondary to Hodgkin\u2019s Lymphoma: Octreotide in Conjuncture with Standard of Care Dietary Fat Restriction. 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