...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>European heart journal cardiovascular Imaging >Oesophageal dilatation due to gastric band detected by echocardiography: A 'chameleon tumour'
【24h】

Oesophageal dilatation due to gastric band detected by echocardiography: A 'chameleon tumour'

机译：超声心动图检测出由于胃束带引起的食管扩张：“变色龙肿瘤”

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

We present a case of a 53-year-old lady who was admitted in our hospital with a history of shortness of breath, palpitations, anaemia, and ankle oedema. On echocar-diogram that was performed to investigate her breathless-ness, a solid echo dense mass was visible posteriorly to the left atrium (LA) (Panel-left). The structure was well-delineated, solid with a granular appearance. A computed tomography of the chest revealed a gastric band, dilatation of oesophagus, and normal aorta. Subsequently, the patient was examined again with echocardiography. Surprisingly, the same structure was noted behind the LA, but it now appeared completely echo-free (Panel-middle). That raised the suspicion that the structure represented an empty dilated oesophagus, whereas in the first scan it was full of food remnants. Indeed, the patient confirmed that there had been 2-3 h since her last meal at the time of the second scan, while the first scan was done shortly after her breakfast. In order to confirm the hypothesis that the visualized structure was the oesophagus, the patient was asked to drinkafew sips of commercially available carbonated beverage under continuous imaging of the structure. Immediately after ingestion, a significant amount of echo-bright gas bubbles appeared in the noted structure (Panel-right, see Supplementary data online, Video S1). Though oesophageal dilatation is not very uncommon after gastric band operation, echocardiographic demonstration has not been previously published. This case report suggests one more simple and easily available diagnostic tool for the difficult differentiation of extracardiac structures noted in echocardiography.
机译：我们介绍了一例53岁的女士，她因呼吸急促，心pal，贫血和踝部水肿而入院。在用于检查她的呼吸困难的超声心动图上，在左心房（LA）（Panel-left）的后方可见一个坚实的回声密集块。结构轮廓清晰，为固体，外观呈颗粒状。胸部X线计算机断层扫描显示胃带，食道扩张和主动脉正常。随后，再次对患者进行超声心动图检查。令人惊讶的是，在LA后面发现了相同的结构，但现在看起来完全没有回声（面板中间）。这让人怀疑该结构代表一个空的扩张食道，而在第一次扫描中它充满了食物残留物。的确，患者确认在第二次扫描时自上一次进餐以来已有2-3小时，而第一次扫描是在早餐后不久进行的。为了证实该可视化结构是食道的假设，要求患者在连续成像的情况下喝一小口可商购的碳酸饮料。摄入后立即在上述结构中出现大量回声明亮的气泡（右图，请参见在线补充数据，视频S1）。尽管在胃带手术后食管扩张不是很常见，但超声心动图检查尚未见报道。该病例报告提出了一种更简单易用的诊断工具，用于超声心动图中发现的心外膜结构的困难区分。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号