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[一例心脏肿物的离奇病例:病例报告]

[The curious case of a cardiac mass : A case report].

作者信息

Chenik Sarra, Besbes Boutheina, Noamen Aymen, Mejri Islem, Arous Younes, Fehri Wafa

机构信息

Assistant Professor, cardiology department, military Hospital of Tunis, Bab Alioua, Montfleury, 1008, Tunis, Tunisia.

cardiology department, military Hospital of Tunis, Tunisia.

出版信息

Ann Cardiol Angeiol (Paris). 2023 Feb;72(1):48-53. doi: 10.1016/j.ancard.2022.10.008. Epub 2022 Nov 23.

Abstract

BACKGROUND

Retained foreign bodies are dreadful events associated with invasive procedures. Their occurrence implicate physical complications as well as serious professional and medico-legal consequences. Cases of retained surgical items, in the pericardial space, following cardiothoracic surgery are rare and their management is delicate as the risks of their removal must be thoroughly weighed against the complications of leaving them inside the chest.

CASE PRESENTATION

We report the case of a retained foreign body, discovered in an asymptomatic patient, on a routine medical check-up, 4 years after cardiac surgery.

CONCLUSIONS

Clinical and paraclinical manifestations of retained surgical foreign bodies are nonspecific. The progress of cardiac imaging means makes it possible to identify these rare foreign bodies with greater precision, and allows, with extreme caution, to monitor patients who are perfectly asymptomatic and who are reluctant to undergo surgery.

摘要

背景

异物残留是与侵入性手术相关的可怕事件。它们的出现意味着身体并发症以及严重的专业和医疗法律后果。心胸外科手术后心包腔内残留手术物品的病例很少见,其处理很棘手,因为取出异物的风险必须与将其留在胸腔内的并发症进行全面权衡。

病例报告

我们报告一例心脏手术后4年在无症状患者进行常规体检时发现异物残留的病例。

结论

手术异物残留的临床和辅助检查表现不具有特异性。心脏成像技术的进步使得能够更精确地识别这些罕见的异物,并在极其谨慎的情况下,对完全无症状且不愿接受手术的患者进行监测。

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