Noah M S, el Din Hawas N, Joharjy I, Abdel-Hafez M
King Saud University, Medical School, Medical Department, Riyadh, Saudi Arabia.
Ann Trop Med Parasitol. 1988 Feb;82(1):67-73. doi: 10.1080/00034983.1988.11812211.
Two case reports of Saudi patients with primary cardiac hydatid cysts are presented. In the first case, a multilocular cyst was located in the wall of the left ventricle, whereas in the second case a cyst was located in the pericardial sac and another cyst in the left ventricular wall. The diagnosis was based on a history of animal contact, full clinical examination, serological tests and the use of plain radiography, including conventional tomogram, two-dimensional echocardiography, computed tomography and thallium perfusion isotope scan. This study has indicated that non-invasive radiological methods are sufficient to diagnose cardiac echinococcosis and could provide the same information as, or even more than if invasive techniques were used. Further screening of the two patients showed no involvement of other organs by hydatid cysts.
本文报告了两例沙特原发性心脏包虫囊肿患者。第一例中，一个多房囊肿位于左心室壁，而第二例中，一个囊肿位于心包囊，另一个囊肿位于左心室壁。诊断依据为动物接触史、全面临床检查、血清学检测以及普通X线摄影的应用，包括传统体层摄影、二维超声心动图、计算机断层扫描和铊灌注同位素扫描。本研究表明，非侵入性放射学方法足以诊断心脏棘球蚴病，并且能够提供与使用侵入性技术相同甚至更多的信息。对这两名患者的进一步筛查显示，其他器官未受包虫囊肿累及。
