Mekonnen Sintayehu, Farris Hawi, Azmeraw Daniel
Department of Internal Medicine, All Africa Leprosy, Tuberculosis and Rehabilitation Training Center, Addis Ababa, Ethiopia.
Department of Gastroenterology and Hepatology, Addis Ababa University College of Health Science, Addis Ababa, Ethiopia.
Int Med Case Rep J. 2024 Apr 16;17:347-352. doi: 10.2147/IMCRJ.S454910. eCollection 2024.
Congenital pericardial absence is an uncommon heart condition that is usually undiagnosed due to a lack of symptoms and awareness. In this case study, we present a 72-year-old patient who initially presented for medical evaluation due to unexplained weight loss, a displaced cardiac apex, and poor echocardiographic windows. An extracardiac tumor was suspected at first, but it was later determined that the patient had a congenital complete absence of the left pericardium. This case illustrates the possibility for benign pathology to present abnormally and details the clinical features, imaging findings, and management of congenital absence of the pericardium.
先天性心包缺如是一种罕见的心脏疾病，通常因缺乏症状和认知而未被诊断。在本病例研究中，我们介绍了一名72岁的患者，该患者最初因不明原因的体重减轻、心尖移位和超声心动图窗口不佳而接受医学评估。起初怀疑是心外肿瘤，但后来确定该患者先天性左心包完全缺失。本病例说明了良性病变可能出现异常表现，并详细介绍了先天性心包缺失的临床特征、影像学表现及治疗方法。
