Kim Samuel, Kim Jiyeon, Shukri Ahmed, Barba Romelia, Qudrat-Ullah Muhammad, Sly Zhaunn, Whisenant Ty
Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, USA.
Eur J Case Rep Intern Med. 2024 Jul 30;11(8):004773. doi: 10.12890/2024_004773. eCollection 2024.
Atrial myxoma is a rare primary tumour of the heart that typically arises from the left atrium. Patients typically present with obstructive symptoms such as dyspnoea, but constitutional and embolic symptoms can be seen as well. Gastrointestinal symptoms in the absence of embolisation are rarely reported in the literature. Our case presents a 55-year-old female who was found to have a large left atrial myxoma after presenting with gastrointestinal symptoms, which resolved upon resection of the tumour. This case illustrates that atrial myxomas can have an atypical presentation with gastrointestinal symptoms, which could be related to inflammation of gastric mucosa from interleukin-6 produced by the tumour cells. Careful history-taking followed by early detection and prompt treatment is important as atrial myxomas can lead to potentially devastating complications.
Atrial myxomas are primary tumours of the heart that can present with a wide spectrum of symptoms.Early consideration and recognition of atypical presentations of atrial myxomas can be crucial in preventing serious consequences such as cardiac arrest.
心房黏液瘤是一种罕见的原发性心脏肿瘤，通常起源于左心房。患者通常表现为呼吸困难等梗阻症状，但也可见全身症状和栓塞症状。文献中很少报道无栓塞情况下的胃肠道症状。我们的病例是一名55岁女性，在出现胃肠道症状后被发现患有巨大左心房黏液瘤，肿瘤切除后症状缓解。该病例表明心房黏液瘤可表现为非典型的胃肠道症状，这可能与肿瘤细胞产生的白细胞介素-6引起的胃黏膜炎症有关。仔细询问病史，随后早期发现并及时治疗很重要，因为心房黏液瘤可导致潜在的严重并发症。
心房黏液瘤是可表现出多种症状的原发性心脏肿瘤。早期考虑和识别心房黏液瘤的非典型表现对于预防心脏骤停等严重后果可能至关重要。
