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巨大心脏包虫病的无症状表现

Asymptomatic Presentation of Large Cardiac Hydatid.

作者信息

Beedkar Amey, Parikh Rohan, Deshmukh Pradeep

机构信息

Registrar.

Associate Professor, Goverment Medical College and Superspeciality Hospital, Nagpur, Maharashtra.

出版信息

J Assoc Physicians India. 2017 Feb;65(2):98-99.

Abstract

Hydatid cyst is a tissue parasitic infection caused by tapeworm Echinococcus granulosus. Common location for hydatid cysts are the liver (65%) and the lungs (25%). Cardiac hydatid cyst is seen rarely, occurring in about 0.5-2% of all cases of hydatid disease. We present this case of 45 years female who presented with short duration of dry cough and atypical chest pain. Chest X ray showed cardiomegaly with round bulge at the right heart border and curvilinear calcification in left upper abdomen in the region of spleen. Transthoracic echocardiography (TTE) depicted cystic lesion in Right Ventricle free wall causing compression of right atrial and ventricular cavity. Cardiac CT confirmed this cyst as hydatid cyst. Patient underwent successful excision of right ventricular hydatid cyst.

摘要

包虫囊肿是由细粒棘球绦虫引起的一种组织寄生虫感染。包虫囊肿常见于肝脏(65%)和肺部(25%)。心脏包虫囊肿很少见,约占所有包虫病病例的0.5 - 2%。我们报告了一名45岁女性病例,该患者出现了持续时间较短的干咳和非典型胸痛。胸部X线显示心脏增大,右心缘有圆形隆起,左上腹脾脏区域有曲线状钙化。经胸超声心动图(TTE)显示右心室游离壁有囊性病变,导致右心房和心室腔受压。心脏CT证实该囊肿为包虫囊肿。患者成功切除了右心室包虫囊肿。

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