Sayma Meelad, Walters Huw Rf, Hesford Christian, Tariq Zohaib, Nakhosteen Ali
Department of Surgery, North Middlesex University Hospital NHS Trust, London, UK.
Department of Intensive Care Medicine, North Middlesex University Hospital NHS Trust, London, UK.
BMJ Case Rep. 2019 Apr 1;12(4):e226276. doi: 10.1136/bcr-2018-226276.
A 74-year-old woman presented with dyspnoea and fever on a background of a large hepatic cyst thought to be stable in size. During her admission, she developed worsening shortness of breath. An echocardiogram revealed severely impaired cardiac output due to external compression by the hepatic cyst, which had grown rapidly. This was drained under ultrasound guidance and cultures of this fluid grew : the organism responsible for the persistence of this giant hepatic cyst.
一名74岁女性，因一个被认为大小稳定的巨大肝囊肿前来就诊，伴有呼吸困难和发热。在住院期间，她的呼吸急促症状加重。超声心动图显示，由于迅速增大的肝囊肿造成外部压迫，心输出量严重受损。在超声引导下对囊肿进行了引流，引流液培养出了导致这个巨大肝囊肿持续存在的病原体。
