Department of Surgery, Beaumont Hospital, Dublin 9, Ireland.
Ir J Med Sci. 2012 Sep;181(3):365-7. doi: 10.1007/s11845-009-0461-y. Epub 2010 Jan 30.
A 70-year-old woman presented with clinical features of right heart failure. Cardiopulmonary investigations included an echocardiogram, which showed a hepatic cyst compromising venous return and affecting right atrial filling and a CT abdomen showed a 15.5 × 11.5 cm-cystic mass involving the right hepatic lobe and compressing the right atrium. Percutaneous drainage of the cyst was performed. This led to complete resolution of symptoms but these recurred as the fluid re-accumulated. Subsequent definitive treatment with excision of the cyst was undertaken with symptomatic cure. This case is the first report of a hepatic cyst presenting as right heart due to compression of the right atrium.
一位 70 岁女性因右心衰竭的临床特征就诊。心肺检查包括超声心动图，显示肝囊肿影响静脉回流，影响右心房充盈，腹部 CT 显示 15.5×11.5cm 的囊性肿块累及右肝叶并压迫右心房。对囊肿进行了经皮引流。这导致症状完全缓解，但随着液体重新积聚，症状再次出现。随后进行了囊肿切除术的确定性治疗，症状得到治愈。本例是首例因右心房受压而表现为右心的肝囊肿病例报告。
