Abstract
A 41-year-old female patient with a previous diagnosis of hepatosplenic form of schistosomiasis and alcoholic hepatic disease presented with intermittent chest pain and confusion during outpatient evaluation for liver transplantation. Physical examination revealed skin pallor, mild jaundice, ascitis, and bilateral lower-extremity oedema. Cardiac rhythm was regular, with a systolic murmur at the tricuspid …
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