[Imagen multimodal de la pericarditis constrictiva: reporte de un caso de cirrosis cardiaca]
Lucía Barriales-Revilla1, Lindsay Benites-Yshpilco1, Roberto Baltodano-Arellano2,3
1Servicio de Cardiología, Hospital Guillermo Almenara Irigoyen, EsSalud, Lima, Peru. Servicio de Cardiología Hospital Guillermo Almenara Irigoyen, EsSalud Lima Peru.
Insights
Constrictive pericarditis can cause ascites and cardiac cirrhosis. Surgical removal of the pericardium (pericardiectomy) effectively treated a patient with these severe conditions.
Area of Science:
- Cardiology
- Gastroenterology
- Radiology
Background:
- Constrictive pericarditis is an uncommon condition.
- It can lead to ascites and cardiac cirrhosis, mimicking liver disease.
- Early diagnosis and intervention are crucial for patient outcomes.
Observation:
- A 36-year-old male presented with refractory ascites, dyspnea, and edema.
- He had a history of cirrhosis of unknown cause.
- Symptoms suggested a cardiac origin rather than primary liver failure.
Findings:
- Echocardiography and computed tomography confirmed constrictive pericarditis.
- The patient experienced clinical and hemodynamic deterioration.
- Multimodal imaging was critical for accurate diagnosis.
Implications:
- Constrictive pericarditis can cause severe, reversible cardiac cirrhosis.
- Emergency pericardiectomy led to satisfactory recovery.
- This case highlights the importance of considering pericardial disease in ascites and cirrhosis evaluations.
Abstract:
Constrictive pericarditis is a rare cause of ascites and cardiac cirrhosis. We present the case of a 36-year-old male patient with a history of cirrhosis of unknown etiology, who consulted for refractory ascites, dyspnea, and lower limb swelling. Echocardiography determined constrictive pericarditis, which was corroborated by the findings of computed tomography. The clinical and hemodynamic worsening of the patient led to an emergency pericardiectomy with satisfactory recovery. This report shows a severe clinical consequence of constrictive pericarditis, cardiac cirrhosis, which was reversible with pericardial extirpation. Multimodal imaging was essential in the diagnosis of constrictive pericarditis.
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