Aljaber Nouradden N, Alshoabi Sultan A, Qurashi Abdulaziz A, Daqqaq Tareef S
Department of Cardiology, Faculty of Medicine, Sana'a University, Sana'a, Republic of Yemen.
Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, KSA.
J Taibah Univ Med Sci. 2020 Mar 25;15(3):249-252. doi: 10.1016/j.jtumed.2020.02.004. eCollection 2020 Jun.
Hydatid disease is a parasitic infection by the larval stage of the tapeworm . It affects liver, lungs and rarely other organs. Medical imaging provide the basis for diagnosis. This case report describes an extremely rare location of cardiac hydatid cyst in the right ventricle of the heart. We describe a 23-year-old woman who presented with shortness of breath and productive cough. Laboratory investigations showed marked eosinophilia and anemia. Chest radiography and abdominal ultrasonography were unremarkable. Cardiac computed tomography (CT) identified two well-defined fluid densities in the right ventricle without contrast enhancement. A transthoracic echocardiography (TTE) showed two cystic lesions in the right ventricular cavity that was attached to the interventricular septum. Hydatid cyst was the most likely diagnosis followed by the possibility of a congenital cardiac cyst. An open-heart surgery with cardiac cystectomy was performed. Post-operative analysis of the resected specimens showed multiple hydatid cysts with living scolices of . The patient recovered uneventfully and was discharged on oral albendazole.
包虫病是由绦虫幼虫阶段引起的寄生虫感染。它会影响肝脏、肺部，很少累及其他器官。医学影像学为诊断提供依据。本病例报告描述了心脏包虫囊肿在右心室这一极其罕见的位置。我们报告一名23岁女性，她出现呼吸急促和咳痰。实验室检查显示明显的嗜酸性粒细胞增多和贫血。胸部X线摄影和腹部超声检查未见异常。心脏计算机断层扫描（CT）发现右心室内有两个边界清晰的液性密度影，无强化。经胸超声心动图（TTE）显示右心室腔内有两个囊性病变，附着于室间隔。最可能的诊断是包虫囊肿，其次是先天性心脏囊肿的可能性。进行了心脏囊肿切除术的心脏直视手术。切除标本的术后分析显示有多个包虫囊肿，带有活的头节。患者恢复顺利，出院时口服阿苯达唑。
