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Updated: Feb 5, 2026

Murine Renal Transplantation Procedure
Published on: July 10, 2009
A rare cause of ascites in a renal transplant recipient
Ganesh Kasinadhuni1, Jasmine Sethi2, Darshan Krishnappa1
1Department of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Abstract:
Thirty-five-year-old man, underwent renal transplantation 4 years back and was doing well. He now presented with complaints of ascites with engorged neck veins and dyspnoea on exertion for last 6 months. Examination showed elevated jugular venous pressure with two prominent descents, high pitched diastolic heart sound (pericardial knock). Echocardiography showed characteristic features of thickened pericardium, septal bounce, expiratory flow reversal in hepatic veins and phasic variation of mitral inflow, suggestive of constrictive pericarditis. The patient was started on empirical antitubercular therapy and diuretics. The patient symptomatically improved, but in view of persisting constrictive physiology he was planned for pericardiectomy.
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