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肝包虫囊肿所致非血栓性肺栓塞:一例报告

Non-thrombotic Pulmonary Embolism Due to Liver Hydatic Cyst: A Case Report.

作者信息

Şahpaz Ahmet, İrez Azem, Gülbeyaz Hatice, Şener Mustafa Talip, Kök Ahmet Nezih

机构信息

Department of Histopathology, Erzurum Branch of Council of Forensic Medicine, Erzurum, Turkey.

Department of Autopsy, Erzurum Branch of Council of Forensic Medicine, Erzurum, Turkey.

出版信息

Balkan Med J. 2017 May 5;34(3):275-277. doi: 10.4274/balkanmedj.2016.0391. Epub 2017 Apr 13.

Abstract

BACKGROUND

A non-thrombotic pulmonary embolism is defined as embolization to the pulmonary circulation. It may be caused by microorganisms, foreign bodies, different cell types or gas in the pulmonary circulation. Pulmonary hydatid cyst-induced embolization is a rare complication of heart or liver hydatid cysts.

CASE REPORT

We describe the fatal case of a 15-year-old boy without any known prior illness who was admitted to the hospital after feeling unwell and dropping to the ground while playing ball. During the autopsy, a lesional mass, with dimensions of 13x6 cm, was observed in the left lobe of the liver. The histomorphological examination of pulmonary sections showed scolices observed in pulmonary vessel lumina, thus a non-thrombosis hydatid embolism was diagnosed. Based on the findings, the cause of death was recorded as a non-thrombotic hydatid embolism.

CONCLUSION

The present case is interesting because a non-thrombotic pulmonary embolism rarely results in sudden death, and a definitive diagnosis was possible only by a histopathological examination.

摘要

背景

非血栓性肺栓塞被定义为栓子栓塞至肺循环。它可能由微生物、异物、不同细胞类型或肺循环中的气体引起。肺包虫囊肿引起的栓塞是心脏或肝脏包虫囊肿的一种罕见并发症。

病例报告

我们描述了一名15岁男孩的致命病例,该男孩之前无任何已知疾病史,在打球时感到不适并倒地后入院。尸检时,在肝脏左叶观察到一个大小为13×6厘米的病变肿块。肺部切片的组织形态学检查显示在肺血管腔内观察到头节,因此诊断为非血栓性包虫栓塞。根据这些发现,死亡原因记录为非血栓性包虫栓塞。

结论

本病例很有趣,因为非血栓性肺栓塞很少导致猝死,且只有通过组织病理学检查才能做出明确诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c94d/5450869/b9ae85537d3d/BMJ-34-275-g1.jpg

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