Abstract
Aim: To report a case of “end-stage” constrictive pericarditis with clinical manifestations such as ascites mimicking as cirrhosis of liver. Introduction: In “End-stage” constrictive pericarditis, the etiology remains unknown in majority of cases and inflammation plays a central role in its development. It has been readily confused with cirrhosis of liver in which there may be ascites, but venous pressure is normal, the neck veins are not engorged and cardiac enlargement is frequent in other causes of heart failure. Case Report: A 67 years old male presented with sudden onset of tachycardia. Clinical examination revealed right-sided heart failure, “Egg-shell” calcification in Chest X-ray and echocardiographic features of pericardial constriction such as septal bounce and dynamic respiratory changes in mitral inflow velocity. The patient was advised medical measures. Conclusion: When clinical signs of right heart failure become unresponsive to increased doses of diuretics, constrictive pericarditis is more likely the underlying disease since severe, right-sided failure develops in very advanced, the “end-stage” of the disease.
Highlights
The normal pericardium is a fibroelastic sac enveloping the heart and consists of two layers
Aim: To report a case of “end-stage” constrictive pericarditis with clinical manifestations such as ascites mimicking as cirrhosis of liver
In “End-stage” constrictive pericarditis, the etiology remains unknown in majority of cases and inflammation plays a central role in its development
Summary
The normal pericardium is a fibroelastic sac enveloping the heart and consists of two layers. The visceral pericardium (serous pericardium) is a single layer of mesothelial cells contiguous with epicardium and a tough, fibrous layer as a parietal pericardium. When the pericardium limits the heart’s ability to function normally either due to accumulation of fluid (pericardial effusion) or scarred. R. Muthiah and inelastic (constriction), the pericardial compression syndromes may occur. The constrictive pericarditis is typically chronic, but variants including acute, subacute, transient, occult and end-stage may occur. The eponym “Pick’s disease” was given to constrictive pericarditis with ascites and hepatomegaly [1] and it was diagnosed as having chronic liver disease and so this case had been reported
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