Cardiac Tamponade via a Fistula to the Pericardium From a Hydatid Cyst: Case Report and Review of the Literature
| Autor: | Murat Tulmac, F. Ozan Kahveci, Ayfer Keleş, Murat Ozsarac, Ahmet Demircan |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Fistula medicine.medical_treatment Albendazole Chest pain Echinococcosis Cardiac tamponade parasitic diseases Mediastinal Diseases Humans Medicine Pericardium Cyst Anthelmintics biology business.industry Middle Aged biology.organism_classification medicine.disease Cardiac Tamponade Surgery medicine.anatomical_structure Echinococcus Pericardiocentesis Emergency Medicine Female Tamponade Radiology medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | The Journal of Emergency Medicine. 38:582-586 |
| ISSN: | 0736-4679 |
| DOI: | 10.1016/j.jemermed.2007.07.017 |
| Popis: | Although echinococcus is endemic in many sheep-raising areas of the world, cardiac involvement is rare. Cysts usually reach the heart by means of the coronary circulation, but other routes have been proposed. Pericardial tamponade due to a hydatid cyst has not yet been described in the literature. We present the case of a 46-year-old woman who presented to the Emergency Department with complaints of chest pain and mild dyspnea. Her medical history was positive for a liver hydatid cyst operation 26 years earlier. She was tachypneic, tachycardic, and hypotensive. Pleural and pericardial effusions were detected on transthoracic echocardiography. When she worsened clinically, pericardiocentesis was performed and she promptly improved. A fistula was detected between the liver and pericardium on computed tomography (CT) scan of the torso. Serologic test (agglutination) for Echinococcus granulosus was positive in a 1/32 dilution. A final diagnosis of mediastinal hydatic cyst was made, and a 4-week course of albendazol was given. Then the cyst was surgically excised, and the patient recovered without complications. (C) 2010 Elsevier Inc. |
| Databáze: | OpenAIRE |
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