Mesrati Med Amin, Mahjoub Yosra, Ben Abdejlil Nouha, Boussaid Marwa, Belhaj Meriem, Limem Hiba, Chadly Ali, Zakhama Abdelfeteh, Aissaoui Abir
Department of Forensic Medicine, University of Monastir, Mahdia, 5100, Tunisia.
Department of Pathology, University of Monastir, Monastir, 5000, Tunisia.
F1000Res. 2020 Apr 24;9:286. doi: 10.12688/f1000research.23277.3. eCollection 2020.
Echinococcosis, also known as hydatid disease, is a common parasitic human infestation found in sheep-breeding areas. It is caused by the larvae stage of , and cysts develop mostly in the lungs and the liver. Cardiac involvement is unusual and silent until acute complications or a fatal outcome occurs. Herein, we report an autopsy case of a young healthy adult who died suddenly. The autopsy revealed an external bulging on the right heart ventricle outlet with a fluid-filled cystic cavity discovered on sectioning. Dissection of other organs did not reveal other cyst locations. Histological examination ascertained the diagnosis of hydatid cyst, and death was attributed to cardiac arrhythmias. Pathologists should keep in mind that hydatid cysts can develop anywhere in the body. Solitary cardiac cyst is rare and can simulate a "silent bomb". Unfortunately, sudden death remains the frequent manner of revelation of this disease in endemic areas.
棘球蚴病，又称包虫病，是在养羊地区常见的一种人类寄生虫感染病。它由[某种寄生虫]的幼虫阶段引起，囊肿大多在肺部和肝脏形成。心脏受累情况不常见，且在急性并发症或致命后果出现之前没有症状。在此，我们报告一例年轻健康成年人突然死亡的尸检病例。尸检发现右心室出口处有向外膨出，切开后发现一个充满液体的囊腔。对其他器官的解剖未发现其他囊肿部位。组织学检查确诊为包虫囊肿，死亡原因是心律失常。病理学家应牢记包虫囊肿可在身体任何部位形成。孤立性心脏囊肿很罕见，可类似一颗“沉默的炸弹”。不幸的是，在流行地区，猝死仍是这种疾病常见的发现方式。
