一名缩窄性心包炎患儿的CT和MRI表现。

CT and MRI findings in a child with constrictive pericarditis.

作者信息

Chen S J, Li Y W, Wu M H, Chiu I S, Wang J K, Su C T, Lue H C, Hsu J C

机构信息

Department of Medical Imaging, Medical College and Hospital, National Taiwan University, Republic of China.

出版信息

Pediatr Cardiol. 1998 May-Jun;19(3):259-62. doi: 10.1007/s002469900301.

DOI:10.1007/s002469900301

PMID:9568227

Abstract

Constrictive pericarditis is rare in children. We report computed tomography (CT) and magnetic resonance imaging (MRI) findings in a 3-year-old girl. She had a swollen abdomen that increased in two months. CT and MRI showed a thickened pericardium (5.2 mm) without calcification. Both atria were enlarged and ventricles were relatively small. The engorged inferior vena cava had 2.8x the diameter of the descending aorta at the same level. Symptoms were dramatically improved after pericardiectomy. The histopathological features confirmed chronic pericarditis.

摘要

缩窄性心包炎在儿童中较为罕见。我们报告了一名3岁女孩的计算机断层扫描（CT）和磁共振成像（MRI）结果。她的腹部肿胀，在两个月内逐渐加重。CT和MRI显示心包增厚（5.2毫米），无钙化。心房均增大，心室相对较小。扩张的下腔静脉直径是同一水平降主动脉的2.8倍。心包切除术后症状显著改善。组织病理学特征证实为慢性心包炎。