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肝脏与右心房 - 肝囊肿作为心律失常的一个病因。

The liver and right atrium-hepatic cyst as a cause of arrhythmia.

作者信息

Ker James

机构信息

Department of Physiology, University of Pretoria, Gesina, Pretoria, South Africa.

出版信息

Clin Med Insights Cardiol. 2010 Aug 5;4:63-7. doi: 10.4137/cmc.s5677.

DOI:10.4137/cmc.s5677
PMID:20859529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2941136/
Abstract

Simple hepatic cysts are a relatively common radiological finding. These cysts may be classified as parasitic and non-parasitic. They are usually asymptomatic, but may cause symptoms due to local compression. These compressive complications include: portal hypertension, edema due to caval compression, extrinsic gastric compression and duodenal compression with obstruction.However, no reports in the literature exist describing atrial compression by hepatic cysts.In this case report a simple hepatic cyst causing slight right atrial compression is described. This slight compression is the cause of atrial premature beats.It is proposed that simple hepatic cysts may be the cause of atrial premature beats.

摘要

单纯性肝囊肿是一种相对常见的影像学表现。这些囊肿可分为寄生虫性和非寄生虫性。它们通常无症状,但可能因局部压迫而引起症状。这些压迫性并发症包括:门静脉高压、腔静脉压迫导致的水肿、外在性胃压迫和十二指肠压迫伴梗阻。然而,文献中尚无关于肝囊肿压迫心房的报道。在本病例报告中,描述了一例引起右心房轻度压迫的单纯性肝囊肿。这种轻度压迫是房性早搏的原因。有人提出单纯性肝囊肿可能是房性早搏的病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eae/2941136/0cb96143c763/cmc-2010-063f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eae/2941136/75c562229c41/cmc-2010-063f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eae/2941136/74a82ba1cfa6/cmc-2010-063f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eae/2941136/ae95d06a0d32/cmc-2010-063f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eae/2941136/de012fa0d2c4/cmc-2010-063f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eae/2941136/0cb96143c763/cmc-2010-063f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eae/2941136/75c562229c41/cmc-2010-063f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eae/2941136/74a82ba1cfa6/cmc-2010-063f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eae/2941136/ae95d06a0d32/cmc-2010-063f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eae/2941136/de012fa0d2c4/cmc-2010-063f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eae/2941136/0cb96143c763/cmc-2010-063f5.jpg

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本文引用的文献

1
Laparoscopic treatment of traumatic rupture of hydatid hepatic cyst--is it feasible?: A case report.腹腔镜治疗肝包虫囊肿外伤性破裂——可行吗?:一例病例报告。
Surg Laparosc Endosc Percutan Tech. 2009 Aug;19(4):e140-2. doi: 10.1097/SLE.0b013e3181a6f221.
2
Symptomatic hepatic cyst in a child: treatment with single-shot injection of tetracycline hydrochloride.儿童症状性肝囊肿:单次注射盐酸四环素治疗
Pediatr Radiol. 2009 Oct;39(10):1091-4. doi: 10.1007/s00247-009-1323-5. Epub 2009 Jun 26.
3
Hepatic cyst misdiagnosed as a gastric submucosal tumor: a case report.
多囊肝疾病中肝囊肿的心脏压迫:血流动力学不稳定的罕见原因。
Turk J Emerg Med. 2020 Feb 26;20(2):93-96. doi: 10.4103/2452-2473.279558. eCollection 2020 Apr-Jun.
4
Polycystic Liver With Cardiac Compression Leading to Atrial Fibrillation: Case Report and Review of the Literature.多囊肝伴心脏受压导致心房颤动:病例报告及文献复习
Cureus. 2020 May 5;12(5):e7976. doi: 10.7759/cureus.7976.
肝囊肿误诊为胃黏膜下肿瘤:一例报告
World J Gastroenterol. 2008 May 21;14(19):3092-4. doi: 10.3748/wjg.14.3092.
4
Gastric fundus impression caused by a hepatic cyst mimicking gastric submucosal tumor.肝囊肿引起的胃底压迹,酷似胃黏膜下肿瘤。
South Med J. 2006 Aug;99(8):902-3. doi: 10.1097/01.smj.0000231264.27631.e2.
5
Laparoscopic management of hepatic cysts.肝囊肿的腹腔镜治疗
Surg Laparosc Endosc Percutan Tech. 2006 Apr;16(2):68-72. doi: 10.1097/00129689-200604000-00002.
6
Haemorrhagic hepatic cyst: a differential diagnosis of cystic tumour.出血性肝囊肿:囊性肿瘤的鉴别诊断
Br J Radiol. 2001 Mar;74(879):270-2. doi: 10.1259/bjr.74.879.740270.
7
An antenatally-diagnosed solitary, non-parasitic hepatic cyst with duodenal obstruction.产前诊断为孤立性、非寄生虫性肝囊肿伴十二指肠梗阻。
Pediatr Surg Int. 2000;16(3):214-5. doi: 10.1007/s003830050727.
8
Clinical and radiographic features of simple and hydatid cysts of the liver.肝脏单纯性囊肿和包虫囊肿的临床及影像学特征
Br J Surg. 1986 Oct;73(10):835-8. doi: 10.1002/bjs.1800731025.