A 69-year-old woman underwent the right upper lobectomy, a partial res
ection of right segment 6 (rt S6) and removal of mediastinal lymph nod
es (LN) for adenocarcinoma of the lung (rt S2), stage IIIA (T2N2M0). A
chest computerized tomography (CT) taken one month after the operatio
n revealed a pericardial effusion which was milky in color, and contai
ned high levels of triglycerides (TG) of 615 mg/dl (serum, 217 mg/dl).
Cytology of effusion for malignant cells was negative, The pericardia
l effusion gradually decreased in one month by restriction of her fat
intake, Chylopericardium following right thoracotomy for lung cancer i
s extremely rare.