Udemgba Chinelo, Missov Emil, Percy Robert, Sattiraju Srinivasan
Cardiovascular Center, University of Florida Health Jacksonville, 5th Floor Ambulatory Care Center, Box C-35 655 W 8th Street, Jacksonville, FL 32209, USA.
Eur Heart J Case Rep. 2020 Dec 28;5(1):ytaa500. doi: 10.1093/ehjcr/ytaa500. eCollection 2021 Jan.
Cardiac foreign bodies (FBs) are rare findings that may present as cardiac masses initially. Here, we present an exceptional and rare case of a hypodermic needle FB that transmigrated to the left atrium and presented as a left atrial mass.
A 28-year-old woman with multiple psychiatric disorders including intentional FB ingestion and self-inflicting injuries presented to the emergency room with abdominal pain, nausea, vomiting, diarrhoea, and chest pain that radiated to the left arm and face for 2 weeks. An echocardiogram was performed revealing a left atrial mass concerning for myxoma. During the surgical removal of the mass, a hypodermic needle was found attached to the roof of the left atrium surrounded by thrombotic and fibrotic tissue, which was confirmed by pathology.
Cardiac FBs are caused generally by penetrating wounds from direct trauma. Fewer cases have been reported regarding cardiac FB caused by ingestion from migration of the object to the heart. Signs and symptoms for cardiac FB may mimic those of cardiac masses. Cardiac FBs often require surgical intervention to avoid complications.
心脏异物（FBs）是罕见的发现，最初可能表现为心脏肿块。在此，我们报告一例特殊且罕见的皮下注射针头异物病例，该异物迁移至左心房并表现为左心房肿块。
一名28岁患有多种精神疾病的女性，包括故意吞食异物和自我伤害行为，因腹痛、恶心、呕吐、腹泻及放射至左臂和面部的胸痛2周而就诊于急诊室。进行了超声心动图检查，发现左心房有一个可疑为黏液瘤的肿块。在手术切除肿块过程中，发现一根皮下注射针头附着于左心房顶部，周围有血栓形成和纤维化组织，病理检查证实了这一点。
心脏异物通常由直接创伤的穿透性伤口引起。关于因异物迁移至心脏而经吞食导致心脏异物的病例报道较少。心脏异物的体征和症状可能与心脏肿块相似。心脏异物通常需要手术干预以避免并发症。
