Ellouze S, Bahri M, Abdennadher M, Kossentini M, Abid N, Chaabouni S, Khabir A, Boudawara T
Laboratoire d'anatomie et de cytologie pathologiques, CHU Habib-Bourguiba, route El-Ain, 3029 Sfax, Tunisie.
Arch Pediatr. 2011 Sep;18(9):987-9. doi: 10.1016/j.arcped.2011.06.008. Epub 2011 Jul 30.
Cardiac hydaticyst is a rare condition and accounts for only 0.5 to 2% of all visceral locations of hydatid disease. The objective of this study was to point out the main clinical, radiological, and disease-course characteristics of this rare and serious pathology. We report a 13-year-old patient with a hydatid pulmonary embolism caused by a hydatid cyst of the interauricular septum. The diagnosis was established by transthoracic echocardiography, thoracic CT scan, and hydatid serology. Surgery was performed without delay and the outcome was good after 15 months of follow-up. This case underlines the need for rapid diagnosis and surgery before complications of cardiac hydatid cyst.
心脏包虫囊肿是一种罕见疾病,仅占所有包虫病内脏受累部位的0.5%至2%。本研究的目的是指出这种罕见且严重病理状况的主要临床、放射学及病程特征。我们报告了一名13岁患者,其因房间隔包虫囊肿导致包虫性肺栓塞。通过经胸超声心动图、胸部CT扫描及包虫血清学检查确诊。及时进行了手术,随访15个月后效果良好。该病例强调了在心脏包虫囊肿出现并发症之前进行快速诊断和手术的必要性。