Hindricks G, Böcker D, Konertz W, Bongartz G, Borggrefe M
Hospital of the Westfälische Wilhelms-University of Münster Department of Cardiology/Angiology, Germany.
Eur Heart J. 1993 Jan;14(1):141-2. doi: 10.1093/eurheartj/14.1.141.
The case of a 30-year-old woman with polycystic disease of the kidneys and a large cyst in the interventricular septum is presented. The hypothesis of an echinococcal disease or of a cardiac manifestation of a polycystic disease was raised. The patient's history, serologic data, and the morphological aspect of the cyst did not give evidence for echinococcal disease before surgery. However, the postoperative pathological evaluation confirmed the diagnosis of a single echinococcal cyst. The presented case shows that even in cases without proven diagnosis of echinococcal disease and preexisting hereditary cysts in other organ systems, care should be taken during surgery to avoid anaphylaxis and preoperative spread of the parasite throughout the body.
本文报告了一名30岁患有多囊肾且室间隔有一个大囊肿的女性病例。曾提出棘球蚴病或多囊病心脏表现的假说。患者的病史、血清学数据以及囊肿的形态学特征在手术前均未提供棘球蚴病的证据。然而，术后病理评估证实为单个棘球蚴囊肿。该病例表明，即使在未确诊棘球蚴病且其他器官系统无遗传性囊肿的情况下，手术过程中也应注意避免过敏反应以及寄生虫在术前扩散至全身。
