Okano Hiroshi, Tochio Tomomasa, Kumazawa Hiroaki, Isono Yoshiaki, Tanaka Hiroki, Matsusaki Shimpei, Sase Tomohiro, Saito Tomonori, Mukai Katsumi, Nishimura Akira, Kitamura Tetsuya, Mori Takuya
Department of Gastroenterology, Suzuka General Hospital, 1275-53 Yasuduka-cho, Suzuka, Mie, 513-8630, Japan.
Department of Cardiology, Suzuka General Hospital, 1275-53 Yasuduka-cho, Suzuka, Mie, 513-8630, Japan.
Clin J Gastroenterol. 2017 Aug;10(4):377-382. doi: 10.1007/s12328-017-0748-x. Epub 2017 May 18.
A 75-year-old woman was discovered to have a pericardial effusion when she was admitted to our hospital because of a giant hepatic cyst. We could not detect the cause of the effusion and diagnosed idiopathic pericardial effusion. The patient underwent transcutaneous drainage of the hepatic cyst and an injection of antibiotics. There was no communication between the pericardial effusion and the hepatic cyst. Although the hepatic cyst was reduced in size, the pericardial effusion showed no remarkable change immediately after treatment; however, 5 months later, the pericardial effusion was found to be diminished. The pericardial effusion might have been caused by the physical pressure of the giant hepatic cyst and disturbance in the balance between the production and reabsorption of the pericardial fluid. When we experience a huge hepatic cyst, we should take into account its influence against the surrounding organs, including the intrapleural space.
一名75岁女性因巨大肝囊肿入院时被发现有心包积液。我们未能检测到积液的病因，诊断为特发性心包积液。患者接受了肝囊肿经皮引流及抗生素注射。心包积液与肝囊肿之间没有交通。尽管肝囊肿体积缩小，但治疗后心包积液立即无明显变化；然而，5个月后，发现心包积液减少。心包积液可能是由巨大肝囊肿的物理压力以及心包液产生与重吸收平衡的紊乱所致。当我们遇到巨大肝囊肿时，应考虑其对包括胸腔内空间在内的周围器官的影响。
