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患者患有贝切特病,其心内出现一肿块:心脏包虫囊肿。

An intra-cardiac mass in a patient with Behçet's disease: Cardiac hydatid cyst.

机构信息

Department of Cardiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

出版信息

Echocardiography. 2020 Apr;37(4):646-648. doi: 10.1111/echo.14631. Epub 2020 Mar 16.

Abstract

Cardiac manifestations of hydatid cysts are rare and occur in 0.5% to 2% of all cases of human hydatidosis. Behçet's disease is a vasculitis which is often associated with venous thrombosis. An intra-cardiac mass in a patient with Behçet's disease should raise the suspicion of thrombosis. However, we report a 32-year-old gentleman with Behçet's disease and history of multiple episodes of venous thrombosis who was first diagnosed with having an intra-cardiac thrombus on echocardiogram. Five months later, his echocardiogram revealed a hydatid cyst in the right ventricular apex which was also confirmed by cardiac magnetic resonance.

摘要

心脏包虫囊肿的表现较为罕见,仅占人类包虫病的 0.5%至 2%。贝切特病是一种血管炎,常与静脉血栓形成有关。患有贝切特病的患者心脏内肿块应引起血栓形成的怀疑。然而,我们报告了一位 32 岁的男性,患有贝切特病和多次静脉血栓形成病史,他在超声心动图上首次被诊断为心脏内血栓。五个月后,他的超声心动图显示右心室心尖有一个包虫囊肿,心脏磁共振也证实了这一点。

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