Yndgaard S, Sjöberg S, DePedis G, Lilja B, Johansson B W
Allmänna Sjukhuset, Malmö, hjärtsektionen, medicinska klinikken.
Ugeskr Laeger. 1991 Jul 22;153(30):2131-3.
A case of acute cardiac insufficiency in a 26 year old woman is described. Ultrasound examination of the pericardium was suspect for an pericardial tumor with pericardial effusion and solid masses of tumor in the fluid. Magnetic resonance imaging (MRI) gave the impression of tumor in the pericardium. Pericardiocentesis showed neither malignant cells nor growth of microorganisms. The patient recovered completely on steroid therapy and control MRI showed anatomic normalisation of the cardiac region. It is concluded that idiopatic peracarditis can mimic pericardial tumor on ultrasound and MRI investigation.
本文描述了一名26岁女性急性心脏功能不全的病例。心包超声检查怀疑有心包肿瘤,伴有心包积液及液体内的肿瘤实性肿块。磁共振成像(MRI)显示心包有肿瘤迹象。心包穿刺未发现恶性细胞及微生物生长。患者经类固醇治疗后完全康复,复查MRI显示心脏区域解剖结构恢复正常。结论是,特发性心包炎在超声和MRI检查中可能表现为心包肿瘤。