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一名急性早幼粒细胞白血病M3患者右心房内的巨大血栓。

A giant thrombus in the right atrium of a patient with acute promyelocytic leukemia M3.

作者信息

Thach Pham Ngoc, Ban Ho Tran, Quynh Huynh-Thi Vu, Thanh Tran-Thi, Nguyen Phan Thao, Vi Trinh Nguyen Ha, Hieu Tran Ba, Chinh Nguyen Duc, Hoa Tran, Dung Bui The, Duc Nguyen Minh

机构信息

Department of General Surgery, Children's Hospital 2, Ho Chi Minh City, Vietnam.

Department of Pediatric Surgery, Faculty of Medicine, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam.

出版信息

Radiol Case Rep. 2023 Aug 2;18(10):3598-3602. doi: 10.1016/j.radcr.2023.07.056. eCollection 2023 Oct.

DOI:10.1016/j.radcr.2023.07.056
PMID:37577079
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10415823/
Abstract

Acute promyelocytic leukemia is a special type of acute myeloid leukemia. Patients with this disease are at high risk of complications. Right atrial thrombosis is a rare but potentially serious complication. A 55-month-old girl with acute promyelocytic leukemia M3 was in her last phase of treatment. Radiologic examination revealed an echo structure in the right atrium that was still present after 6 weeks of anticoagulation treatment with enoxaparin. Cardiac surgery was performed to remove the mass, which was found to be a calcified thrombus. Although this is a rare occurrence, recognition of the possibility of a calcified thrombus may minimize misdiagnosis and allow surgical retrieval if the thrombus is sufficiently large.

摘要

急性早幼粒细胞白血病是急性髓系白血病的一种特殊类型。该疾病患者发生并发症的风险很高。右心房血栓形成是一种罕见但可能严重的并发症。一名55个月大的急性早幼粒细胞白血病M3女童正处于治疗的最后阶段。放射学检查发现右心房有一个回声结构，在使用依诺肝素进行抗凝治疗6周后仍然存在。进行了心脏手术以切除肿块，发现其为钙化血栓。尽管这种情况很少见，但认识到钙化血栓的可能性可以最大限度地减少误诊，并在血栓足够大时允许进行手术取出。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f756/10415823/135b29f344a6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f756/10415823/6da15862104e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f756/10415823/19cfa8007c96/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f756/10415823/d414748bcd28/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f756/10415823/135b29f344a6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f756/10415823/6da15862104e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f756/10415823/19cfa8007c96/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f756/10415823/d414748bcd28/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f756/10415823/135b29f344a6/gr4.jpg

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