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[Ascites due to constrictive pericarditis].

Jean-Luc Caumes¹, Franck Cholet, Martial Richecoeur

¹Service de pathologie digestive, HIA Clermont Tonnerre, Brest Naval.

Presse Medicale (Paris, France : 1983)

|February 3, 2005

Summary

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Ascites can indicate chronic constrictive pericarditis (CCP) of tuberculous origin. Surgical treatment for CCP is effective, highlighting the importance of analyzing ascites to detect treatable conditions.

Area of Science:

Cardiology
Infectious Diseases
Internal Medicine

Background:

Chronic constrictive pericarditis (CCP) is rare in industrialized nations due to decreased tuberculosis incidence.
Current primary causes include prior cardiac surgery and radiotherapy.
Tuberculous pericarditis remains a significant cause in endemic regions.

Observation:

A 65-year-old male presented with ascites and lower limb edema over several weeks.
Diagnostic workup revealed the ascites was indicative of CCP.
The patient underwent successful surgical treatment via pericardiectomy.

Findings:

Ascites can be an atypical presentation of chronic constrictive pericarditis.
Tuberculous etiology for CCP was confirmed in this case.

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Surgical pericardiectomy yielded excellent clinical results.

Implications:

This case underscores the value of systematic biological analysis of ascites.
Early detection of CCP through ascites analysis can lead to curable outcomes.
Physicians should consider CCP in the differential diagnosis of unexplained ascites, even in low-incidence areas.