Tlohi Imane, Karim Fatiha, Rhaichi Hind, Elamraoui Asmaa, Habbal Rachida
Department of Cardiology, Centre Hospitalier Universitaire IBN Rochd, Casablanca, Morocco.
Ann Med Surg (Lond). 2023 Apr 17;85(5):1863-1866. doi: 10.1097/MS9.0000000000000356. eCollection 2023 May.
Hydatid cysts are most commonly found in the liver and lungs but rarely in the heart. Most heart hydatid cysts are located in the left ventricle and the interventricular septum. Few cases of isolated pericardial hydatid cysts have been reported in the literature. Cardiac involvement can have serious consequences and can be fatal if the cyst perforates. Methods for diagnosing cardiac hydatid cysts include serological tests and noninvasive imaging tests such as transthoracic echocardiography, computed tomography, and magnetic resonance imagery.
Here we report a rare case of an isolated pericardial hydatid cyst in a young woman who complained of sternal chest pain, palpitations, and shortness of breath. The diagnosis of pericardial hydatic cyst in our case was confirmed by serologic tests for hydatidosis and the results of echocardiography and tomography. No other localizations were found after realizing a body scan. The patient was started on oral albendazole and then was referred to surgery for the resection of the cardiac mass.
Cardiac hydatid cyst represents a rare disease, frequently associated with fatal complications, which makes its early diagnosis and treatment an urgent priority.
包虫囊肿最常见于肝脏和肺部,但很少见于心脏。大多数心脏包虫囊肿位于左心室和室间隔。文献中报道的孤立性心包包虫囊肿病例很少。心脏受累可产生严重后果,如果囊肿破裂可能致命。诊断心脏包虫囊肿的方法包括血清学检查和非侵入性成像检查,如经胸超声心动图、计算机断层扫描和磁共振成像。
我们在此报告一例年轻女性罕见的孤立性心包包虫囊肿病例,该患者主诉胸骨后胸痛、心悸和呼吸急促。通过包虫病血清学检查以及超声心动图和断层扫描结果,确诊了我们病例中的心包包虫囊肿。全身扫描后未发现其他病变部位。患者开始口服阿苯达唑,随后被转诊至外科进行心脏肿物切除术。
心脏包虫囊肿是一种罕见疾病,常伴有致命并发症,这使得其早期诊断和治疗成为当务之急。