Constrictive Pericarditis as a Cause of Refractory Ascites

被引：3

作者：

Lominadze, Zurabi ^{[1
]}

Kia, Leila ^{[2
]}

Shah, Sanjiv ^{[3
]}

Parekh, Keyur ^{[4
]}

Levitsky, Josh ^{[2
,5
]}

机构：

[1] Northwestern Univ, Feinberg Sch Med, Dept Med, Chicago, IL 60611 USA

[2] Northwestern Univ, Feinberg Sch Med, Dept Med, Div Gastroenterol & Hepatol, 676 N St Clair St,19th Floor, Chicago, IL 60611 USA

[3] Northwestern Univ, Feinberg Sch Med, Dept Med, Div Cardiol, Chicago, IL 60611 USA

[4] Northwestern Univ, Feinberg Sch Med, Dept Radiol, Chicago, IL 60611 USA

[5] Northwestern Univ, Feinberg Sch Med, Dept Surg, Div Organ Transplantat, Chicago, IL 60611 USA

来源：

ACG CASE REPORTS JOURNAL | 2015年 / 2卷 / 03期

关键词：

D O I：

10.14309/crj.2015.46

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

We report a 43-year-old man who presented for evaluation of ascites, varices, and hepatosplenomegaly. Initial labs were notable for normal platelets, mild liver synthetic dysfunction, and disproportionately elevated alkaline phosphatase. He was presumed to have underlying cirrhosis, and diuresis was attempted without success. A transjugular liver biopsy showed marked sinusoidal dilation without cirrhosis. Diagnostic paracentesis revealed fluid studies suggestive of cardiac ascites. Further cardiac evaluation confirmed constrictive pericarditis. The case highlights the importance of considering a broad differential in the evaluation of ascites.

引用

页码：175 / 177

页数：3

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