Abbott Northwestern Hospital, Department of Medical Education, Minneapolis, Minnesota, USA.
Minnesota Gastroenterology PA, Plymouth, Minnesota, USA.
J Clin Ultrasound. 2021 Jan;49(1):56-58. doi: 10.1002/jcu.22920. Epub 2020 Sep 16.
We report the case of a 71-year-old male with Crohn's disease, shortness of breath, and chest pain that highlights cardiac involvement in inflammatory bowel disease and the role of point-of-care ultrasonography using an alternate cardiac ultrasound window in making the diagnosis of Crohn's pericarditis. The role of ultrasonography in diagnosis and management of inflammatory bowel disease focuses primarily on intestinal pathology. Cardiac involvement is a rare but clinically impactful extraintestinal manifestation, the diagnosis of which benefits from ultrasonography if the clinician performing and interpreting the exam is aware of the possibility and understands the potential value of whole-body ultrasonography as part of a physical exam.
我们报告了一例 71 岁男性克罗恩病患者，出现呼吸急促和胸痛，这突出了炎症性肠病中心脏受累的情况，以及在诊断克罗恩病性心包炎中使用替代心脏超声窗口进行即时超声检查的作用。超声检查在炎症性肠病的诊断和管理中的作用主要集中在肠道病理学上。心脏受累是一种罕见但具有临床重要性的肠外表现，如果进行检查和解释的临床医生意识到这种可能性并理解全身超声作为体格检查一部分的潜在价值，那么超声检查有助于诊断。
