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Carcinoid Heart Disease-Induced Right-Sided Heart Failure as a Culprit for Significant Ascites

Yan Huang1, Dae Yong Park1, Anas Almoghrabi2

  • 1Department of Medicine, Cook County Health, Chicago, IL, USA.

Case Reports in Gastroenterology
|March 28, 2023
PubMed

Insights

Diagnosing carcinoid heart disease (CHD) causing ascites is challenging. This case highlights the importance of physical exam and fluid analysis for early CHD diagnosis, crucial for timely intervention.

Area of Science:

  • Cardiology
  • Hepatology
  • Oncology

Background:

  • Carcinoid heart disease (CHD) is a rare complication of neuroendocrine tumors.
  • Ascites in CHD can be misdiagnosed, particularly with coexisting conditions like alcohol use disorder and portal hypertension.

Observation:

  • A patient with a well-differentiated neuroendocrine neoplasm of the liver presented with ascites.
  • The ascites exhibited a high serum-ascites albumin gradient and high protein content.

Findings:

  • The ascites and symptoms were attributed to carcinoid heart disease (CHD).
  • This case underscores the diagnostic difficulty of CHD-induced ascites.

Implications:

  • Emphasizes the critical role of thorough physical examination and peritoneal fluid analysis in diagnosing CHD.
  • Highlights the need for a multidisciplinary approach and early intervention for improved patient outcomes in CHD.

Keywords:
Carcinoid heart diseaseCarcinoid syndromeCardiac ascitesNeuroendocrine neoplasm

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