复发性心脏棘球蚴囊肿伴心包突出;细粒棘球蚴的罕见病例报告

IF 1.1 Q4 IMMUNOLOGY
Mahmoud Beheshti Monfared, H. Ghaderi, Zahra Ansari Aval, M. Hekmat, S. Mirjafari, Reza Beheshti Monfared, R. Tirdad
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引用次数: 0

摘要

棘球蚴(HC)是一种罕见的病理学,主要在欠发达的畜牧业国家发现。HC可以在身体的任何地方发现,但在心脏中是罕见的,在心脏和心包中复发也是非常罕见的。一名54岁的女性11年前在另一个国家接受了HC切除手术,她出现呼吸急促和胸部沉重。检查和计算机断层扫描显示,心包腔内有一个60×50mm的大肿块,源自右心房壁。通过血清学酶联免疫吸附试验(ELISA)证实感染细粒棘球蚴,患者接受了心脏手术。患者接受了体外循环,但没有出现心脏骤停,也没有为她进行主动脉交叉夹闭。切除的肿块中充满了子囊肿。取出内囊,引流壁内囊肿。手术后,患者接受了为期六个月的阿苯达唑治疗。心脏棘球蚴复发是一种罕见但可能发生的事件,建议每年进行随访和超声心动图检查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recurrent cardiac hydatid cysts with pericardial protrusion; a rare case presentation of Echinococcus granulosus
Hydatid cyst (HC) is a rare pathology mostly found in less developed, livestock-raising countries. HC can be found anywhere in the body, however it is a rare finding in the heart, and its recurrence in the heart and pericardium is very rare. A 54-year-old woman who had undergone surgery for the removal of HC in another country 11 years before presented with shortness of breath and heaviness in the chest. The examinations and computerized tomography (CT) scan revealed a large mass measuring 60×50 mm in the pericardium cavity originating from the right atrial wall. Infection with Echinococcus granulosus was confirmed with serological enzyme-linked immunosorbent assay (ELISA) test and the patient underwent cardiac surgery. The patient underwent cardiopulmonary bypass, nevertheless did not suffer cardiac arrest, and aortic cross-clamping was not performed for her. The removed mass was filled with daughter cysts. The endocysts were removed and intramural cysts were drained. Following the surgery, the patient received treatment with albendazole for six months. Cardiac hydatid cyst recurrence is a rare but possible incident, and annual follow-ups and echocardiography are recommended.
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来源期刊
CiteScore
1.70
自引率
0.00%
发文量
65
审稿时长
3 weeks
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