Cacoub P, Chapoutot L, Du-Boutin L T, Derbel A, Gandjbakhch I, Sal R, Godeau P
Service de médecine interne, hôpital Corvisart, Charleville-Mézières.
Arch Mal Coeur Vaiss. 1991 Dec;84(12):1857-60.
Cardiac localisation of hydatid cysts is rare representing 0.5 to 2% of all clinical forms of this condition. Hydatid cysts are usually observed in the left ventricle and involvement of the interventricular septum is exceptional. The principal diagnostic and preoperative investigations are serology and imaging by echocardiography and computed tomography, which can give conflicting results. The authors report a case of hydatid cyst of the interventricular septum in which computed tomography was non-contributory whereas echocardiography (the key investigation in all cases of hydatid cyst) associated with nuclear magnetic resonance imaging provided particularly accurate preoperative information. The latter investigation also allowed diagnosis of pulmonary, hepatic, splenic and renal involvement of the disease.
心脏包虫囊肿很少见,占这种疾病所有临床类型的0.5%至2%。包虫囊肿通常见于左心室,累及室间隔的情况罕见。主要的诊断和术前检查是血清学检查以及超声心动图和计算机断层扫描成像,这些检查结果可能相互矛盾。作者报告了1例室间隔包虫囊肿病例,其中计算机断层扫描未提供有用信息,而超声心动图(所有包虫囊肿病例的关键检查)与核磁共振成像相结合,提供了特别准确的术前信息。后者的检查还诊断出该疾病的肺部、肝脏、脾脏和肾脏受累情况。