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Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy

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Massive ascites of unknown origin.

¹Department of Cardiothoracic Surgery, The First Hospital of Putian, Teaching Hospital, Fujian Medical University Putian, Fujian Province, China.

International Journal of Clinical and Experimental Medicine

|March 7, 2014

Summary

This summary is machine-generated.

Massive ascites, a rare sign of constrictive pericarditis, can be treated with pericardiectomy. Early diagnosis of this condition is crucial for better patient outcomes.

Keywords:

Ectopia cordis paracentesis pericardiectomy

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Area of Science:

Cardiology
Internal Medicine

Background:

Massive ascites of unknown origin presents a diagnostic challenge with potential for poor prognosis.
Constrictive pericarditis is an uncommon cause of massive ascites, often overlooked.

Observation:

A 22-year-old female presented with a 4-year history of progressive abdominal distension and massive ascites.
Extensive investigations revealed chronic calcified constrictive pericarditis as the underlying cause.

Findings:

The patient underwent pericardiectomy, resulting in an uneventful recovery.
Post-surgery, ascites resolved with minimal paracentesis, and the patient returned to work.

Implications:

Chronic calcified constrictive pericarditis can manifest with rare extracardiac signs like massive ascites.
Pericardiectomy offers a radical treatment solution.
Physicians must consider constrictive pericarditis in the differential diagnosis of unexplained massive ascites to prevent diagnostic delays.