Metastatic liver mass with heart failure presentation: A case report

Abstract

Objective: Dyspnea is a common symptom of heart disease that can also be related to other disorders, such as liver disease. In this case report, we aim to describe a rare case of metastatic liver mass that presented with heart failure. Case Presentation: A 50-year-old woman without a past medical history arrived at our hospital with a history of dyspnea and swelling in the lower extremities. She did not complain of pain, arthralgia, trauma, or chest pain but complained of exertional dyspnea and fatigue that had started one month before and had aggravated two days before. Her laboratory test indicated anemia. In echocardiography, we saw mild right ventricle enlargement and dysfunction, but the left heart was normal with acceptable systolic and diastolic function. In the subcostal view, the inferior vena cava (IVC) was dilated but under compression of a large liver mass. According to our literature review, this is the first case in which a metastatic liver mass had presented with heart failure. Conclusion: In patients presenting with dyspnea, despite normal echocardiographic findings, the exact evaluation of the IVC should be considered.