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完全性黏液瘤脱离致腹主动脉闭塞及继发性内脏坏死1例罕见病例:病例描述及文献分析

A Rare Case of Complete Myxoma Detachment Leading to Abdominal Aortic Occlusion and Secondary Visceral Necrosis: A Case Description and an Analysis of the Literature.

作者信息

Hu Xu, Zhang Wenzhao, Yu Jianqun

机构信息

Department of Emergency, West China Hospital, Sichuan University, 37 Guo Xue Alley, Chengdu 610041, China.

Department of Radiology, West China Hospital, Sichuan University, 37 Guo Xue Alley, Chengdu 610041, China.

出版信息

J Clin Med. 2025 Sep 17;14(18):6526. doi: 10.3390/jcm14186526.

Abstract

Complete detachment of a cardiac myxoma represents an exceptionally rare but potentially catastrophic complication. This case report describes a young female patient who developed acute abdominal pain following vigorous physical exertion, with rapid progression to visceral ischemia and bilateral lower limb ischemia within an extremely short timeframe. Comprehensive diagnostic imaging and postoperative pathological examination confirmed this as a remarkably rare case of complete cardiac myxoma detachment. This condition has been reported in only a handful of cases in the existing medical literature.

摘要

心脏黏液瘤完全脱落是一种极其罕见但可能具有灾难性的并发症。本病例报告描述了一名年轻女性患者,在剧烈体力活动后出现急性腹痛,并在极短时间内迅速发展为内脏缺血和双下肢缺血。全面的诊断性影像学检查和术后病理检查证实这是一例极为罕见的心脏黏液瘤完全脱落病例。在现有的医学文献中,这种情况仅在少数病例中有所报道。

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