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Ann Thorac Surg 2003;75:1650-1652
© 2003 The Society of Thoracic Surgeons

Case report

Chylotamponade: an unusual presentation of gorham’s syndrome

Matthew Reed Swelstad, MDa, Carmine Frumiento, MDa, Alice Garry-McCoy, MDa, Rashmi Agni, MDa, Tracey L Weigel, MDa,*

a Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA

Accepted for publication October 27, 2002.

* Address reprint requests to Dr Weigel, 600 Highland Ave, CSC Room 4-346, University of Wisconsin Medical Center, Madison, WI 53792, USA (Email: weigel{at}surgery.wisc.edu).

Gorham’s Syndrome, also known as massive osteolysis or "vanishing bone disease" results from lymphangiomatosis with adjacent bone resorption. Chylothorax is a common complication in cases of mediastinal involvement. We report a case of Gorham’s Syndrome presenting as chylotamponade successfully treated with pericardial drainage, early parenteral nutritional support, bilateral pleurodesis for chylous effusions, and adjuvant external beam radiation.




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