Shojaei Esfandiar, Yassin Zeynab, Rezahosseini Omid
Dept. of Infectious and Tropical Diseases, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Public Health. 2016 Nov;45(11):1507-1510.
Hydatid disease commonly involves liver but in rare cases, it can involve cardiac structures. A 75-yr-old farmer from Parsabad-Moghan, northwestern Iran was presented to the Emergency Room of Tehran Imam Khomeini Hospital, Tehran, Iran with dyspnea and without chest pain in 2014. A lesion compatible with hydatid cyst was found in echocardiography and confirmed by serology and MRI. Surgical treatment was done but the patient was died in recovery room because of cardiac arrhythmia. In endemic areas, hydatid cyst should be considered in differential diagnosis of heterogeneous echogenic lesions even if the serologic tests are negative. Physician can use cardiac MRI to earn valuable information about the lesion and its relation to other structures. However, with all of these assessments, surgical removal of cardiac cysts may have some complications.
包虫病通常累及肝脏，但在罕见情况下，也可累及心脏结构。2014年，一名来自伊朗西北部帕尔萨巴德-莫甘的75岁农民因呼吸困难被送往伊朗德黑兰伊玛目霍梅尼医院急诊室，无胸痛症状。超声心动图发现一个与包虫囊肿相符的病变，血清学和磁共振成像（MRI）予以证实。进行了手术治疗，但患者在恢复室因心律失常死亡。在流行地区，即使血清学检查呈阴性，在鉴别诊断异质性回声病变时也应考虑包虫囊肿。医生可使用心脏MRI获取有关病变及其与其他结构关系的有价值信息。然而，尽管进行了所有这些评估，手术切除心脏囊肿仍可能有一些并发症。
