Hydatidosis simulating a cardiac tumour with pulmonary metastases
| Autor: | Alejandro Martín-Trenor, Marta Martín-Izquierdo |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Lung Neoplasms 030204 cardiovascular system & hematology Heart Neoplasms 0302 clinical medicine Cyst Cardiac tumour Cirugía cardíaca Tumor cardíaco Child Anthelmintics Multiple Pulmonary Nodules Hidatidosis pulmonar Cardiac surgery Combined Modality Therapy Magnetic Resonance Imaging Echinococcosis medicine.anatomical_structure Echocardiography Radiology medicine.symptom medicine.medical_specialty Echinococcosis Pulmonary Pulmonary echinococcosis Heart Diseases Nódulos pulmonares múltiples Cardiac Neoplasm Biopsy Fine-Needle Ocean Engineering Diagnosis Differential 03 medical and health sciences Cirugía pulmonar Pulmonary surgery medicine Humans Diagnostic Errors Hidatidosis cardíaca Lung Romania business.industry Nodule (medicine) medicine.disease Surgery Cardiac echinococcosis Multiple pulmonary nodules Differential diagnosis Tomography X-Ray Computed business 030217 neurology & neurosurgery |
| Zdroj: | Cirugía y Cirujanos (English Edition). 84(4):318-323 |
| ISSN: | 2444-0507 |
| DOI: | 10.1016/j.circen.2016.06.007 |
| Popis: | Background The presence of multiple symptomatic pulmonary nodules and one cardiac tumour in a child requires urgent diagnosis and treatment. Until a few decades ago, the diagnosis of a cardiac tumour was difficult and was based on a high index of suspicion from indirect signs, and required angiocardiography for confirmation. Echocardiography and other imaging techniques have also helped in the detection of cardiac neoplasms. However, it is not always easy to make the correct diagnosis. Clinical case The case is presented of a 12-year-old boy with pulmonary symptoms, and diagnosed with a cardiac tumour with lung metastases. The presence of numerous pulmonary nodules was confirmed in our hospital. The echocardiogram detected a solid cardiac nodule in the right ventricle. Magnetic resonance imaging confirmed the findings and the diagnosis. Puncture-aspiration of a lung nodule gave the diagnosis of hydatidosis. He underwent open-heart surgery with cardiac cyst resection and treated with anthelmintics. The lung cysts were then excised, and he recovered uneventfully. Discussion This child had multiple pulmonary nodules and a solid cardiac nodule, and was suspected of having a cardiac tumour with pulmonary metastases. However, given the clinical history, background and morphology of pulmonary nodules, another possible aetiology for consideration is echinococcosis. The clinical picture of cardiac hydatidosis and its complications is highly variable. The clinical history is essential in these cases, as well as having a high index of suspicion. Conclusion Hydatidosis should be included in the differential diagnosis of a solid, echogenic, cardiac nodule. The treatment for cardiopulmonary hydatid cysts is surgical, followed by anthelmintics. |
| Databáze: | OpenAIRE |
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