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Refractory Ascites Possibly Contributed by Absent Pericardium
Aneliya San1, Nina Rizk1, Michael Vornovitsky1
1University of Rochester Medical Center, Rochester, New York, USA.
JACC. Case Reports
|April 4, 2025
Summary
Congenital absence of the pericardium, a rare heart defect, can cause fluid buildup. This case highlights its role in refractory ascites, leading to persistent abdominal fluid accumulation.
Area of Science:
- Cardiology
- Medical Case Reports
Background:
- Congenital absence of the pericardium is a rare cardiac anomaly.
- It is often asymptomatic but can impair cardiac function mechanically.
Purpose of the Study:
- To present a case of refractory ascites in a patient with congenital absence of the pericardium.
- To illustrate the contribution of this anomaly to persistent abdominal fluid accumulation.
Main Methods:
- Case report presentation.
- Clinical and diagnostic evaluation of a patient with refractory ascites and congenital absence of the pericardium.
Main Results:
- The patient presented with refractory ascites.
- Congenital absence of the pericardium was identified as a significant contributing factor to the abdominal fluid accumulation and symptom exacerbation.
Conclusions:
- Congenital absence of the pericardium can be a significant cause of refractory ascites.
- This rare cardiac malformation should be considered in the differential diagnosis of unexplained ascites.
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