Right atrial myxoma with a nonembolic intestinal manifestation.
A 5-year-old male with right atrial myxoma without interatrial communication who presented with abdominal pain, vomiting, fever, and guaiac positive stool is reported. He was later found to have ischemia of a jejunal segment necessitating segmental resection. Although his symptoms persisted postoperatively, surgical removal of a right atrial myxoma was followed by complete resolution of his intestinal symptoms. We demonstrated that the mesenteric vasculitis was of nonembolic origin, and we speculate autoimmune arteritis as a possible mechanism.
Park
J M
JM
Department of Pediatrics, Texas Tech University Health Sciences Center, Lubbock 79430.
Garcia
R R
RR
Patrick
J K
JK
Waagner
D
D
Anuras
S
S
D002675:Child, Preschool; D004452:Echocardiography; D005500:Follow-Up Studies; D006325:Heart Atria / Q000473:pathology; D006338:Heart Neoplasms / Q000175:diagnosis*; D006801:Humans; D007511:Ischemia / Q000175:diagnosis; D007583:Jejunum / Q000098:blood supply*; D008297:Male; D009232:Myxoma / Q000175:diagnosis*; D009360:Neoplastic Cells, Circulating; D010488:Polyarteritis Nodosa / Q000175:diagnosis*