Case Report
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Year 2021, Volume: 34 Issue: 3, 335 - 338, 27.10.2021
https://doi.org/10.5472/marumj.1012634

Abstract

References

  • [1] Nishimura RA. Constrictive pericarditis in the modern era: a diagnostic dilemma. Heart 2001;86:619-23. doi: 10.1136/ heart.86.6.619.
  • [2] Bergman M, Vitrai J, Salman H. Constrictive pericarditis: A reminder of a not so rare disease. Eur J Intern Med 2006; 17: 457-64. doi: 10.1016/j.ejim.2006.07.006.
  • [3] Gotthardt DN, Weiss KH, Rathenberg V, Schemmer P, Stremmel W, Sauer P. Persistent ascites after liver transplantation: etiology, treatment and impact on survival. Ann Transplant 2013; 18: 378-83. doi: 10.12659/ AOT.883982.
  • [4] Szabó G, Schmack B, Bulut C, et al. Constrictive pericarditis: risks, aetiologies and outcomes after total pericardiectomy: 24 years of experience. Eur J Cardiothorac Surg 2013;44:1023-8. doi: 10.1093/ejcts/ezt138.
  • [5] Myers RB, Spodick DH. Constrictive pericarditis: clinical and pathophysiologic characteristics. Am Heart J 1999;138:219- 32. doi: 10.1016/s0002-8703(99)70105-5.
  • [6] Bezjak M, Kocman B, Jadrijević S, et.al. Constrictive pericarditis as a cause of refractory ascites after liver transplantation: A case report. World J Clin Cases 2019;7: 3266-70. doi: 10.12998/wjcc.v7.i20.3266.
  • [7] Runyon BA. AASLD Practice Guidelines Committee. Management of adult patients with ascites due to cirrhosis: an update. Hepatology 2009; 49: 2087-107. doi: 10.1002/ hep.22853.
  • [8] Lominadze Z, Kia L, Shah S, Parekh K, Levitsky J. Constrictive pericarditis as a cause of refractory ascites. ACG Case Rep J 2015; 2: 175-7. doi: 10.14309/crj.2015.46.
  • [9] Barry M, Al-Muhaidb S, Fathala A. A case report of constrictive pericarditis: a forgotten cause of refractory ascites. Radiol Case Rep 2020;15:2565-8. doi: 10.1016/j. radcr.2020.09.053.
  • [10] Celebi ZK, Keven K, Sengul S, et al. Constrictive pericarditis after renal transplantation: three case reports. Transplant Proc 2013; 45: 953-5. doi: 10.1016/j.transproceed.2013.02.060.
  • [11] Ling LH, Oh JK, Schaff HV, et al. Constrictive pericarditis in the modern era: evolving clinical spectrum and impact on outcome after pericardiectomy. Circulation 1999;100:1380-6. doi: 10.1161/01.cir.100.13.1380.
  • [12] Welch T.D, Ling L.H, Espinosa R.E, et al. Echocardiographic diagnosis of constrictive pericarditis Mayo Clinic criteria. Circulation: Cardiovascular Imaging 2014; 7:3 526-34. doi: 10.1161/CIRCIMAGING.113.001613.
  • [13] Howard JP, Jones D, Mills P, Marley R, Wragg A. Recurrent ascites due to constrictive pericarditis. Frontline Gastroenterol 2012; 3: 233-7. doi: 10.1136/flgastro-2012-100173.
  • [14] Chowdhury UK, Subramaniam GK, Kumar AS, et al. Pericardiectomy for constrictive pericarditis: a clinical, echocardiographic, and hemodynamic evaluation of two surgical techniques. Ann Thorac Surg 2006; 81: 522-9. doi: 10.1016/j.athoracsur.2005.08.009.

Constrictive pericarditis diagnosed following liver transplantation

Year 2021, Volume: 34 Issue: 3, 335 - 338, 27.10.2021
https://doi.org/10.5472/marumj.1012634

Abstract

Constrictive pericarditis is frequently diagnosed during evaluation of the patients for hepatosplenomegaly and easily missed if not
considered in differential diagnosis. Herein, we present a patient diagnosed with constrictive pericarditis during his investigation for
impaired liver functions and right heart failure one year after liver transplantation.
A thirteen-year-old boy presented with abdominal distention, dyspnea and fatigue. He had undergone liver transplantation due to
liver failure in the previous year, and the symptoms had recurred in the last three months. Physical examination revealed normal
heart sounds. Abdominal distention and ascites were present. Cardiothoracic index and pulmonary vascular markings were normal
on chest X-ray. Echocardiography showed biatrial dilatation. Thickening of the pericardium with calcifications was demonstrated by
thorax computerised tomography. High pulmonary wedge pressure and equalization of end-diastolic pressures were found during
catheter-angiography. Pericardiectomy was performed, histopathology was compatible with chronic fibrinous pericarditis. The
patient improved dramatically after surgery, the right heart failure findings resolved, and the liver graft functions turned to be normal.
Constrictive pericarditis must be considered in differential diagnosis of hepatosplenomegaly, liver dysfunction and right heart failure
since surgical treatment is possible and lifesaving.

References

  • [1] Nishimura RA. Constrictive pericarditis in the modern era: a diagnostic dilemma. Heart 2001;86:619-23. doi: 10.1136/ heart.86.6.619.
  • [2] Bergman M, Vitrai J, Salman H. Constrictive pericarditis: A reminder of a not so rare disease. Eur J Intern Med 2006; 17: 457-64. doi: 10.1016/j.ejim.2006.07.006.
  • [3] Gotthardt DN, Weiss KH, Rathenberg V, Schemmer P, Stremmel W, Sauer P. Persistent ascites after liver transplantation: etiology, treatment and impact on survival. Ann Transplant 2013; 18: 378-83. doi: 10.12659/ AOT.883982.
  • [4] Szabó G, Schmack B, Bulut C, et al. Constrictive pericarditis: risks, aetiologies and outcomes after total pericardiectomy: 24 years of experience. Eur J Cardiothorac Surg 2013;44:1023-8. doi: 10.1093/ejcts/ezt138.
  • [5] Myers RB, Spodick DH. Constrictive pericarditis: clinical and pathophysiologic characteristics. Am Heart J 1999;138:219- 32. doi: 10.1016/s0002-8703(99)70105-5.
  • [6] Bezjak M, Kocman B, Jadrijević S, et.al. Constrictive pericarditis as a cause of refractory ascites after liver transplantation: A case report. World J Clin Cases 2019;7: 3266-70. doi: 10.12998/wjcc.v7.i20.3266.
  • [7] Runyon BA. AASLD Practice Guidelines Committee. Management of adult patients with ascites due to cirrhosis: an update. Hepatology 2009; 49: 2087-107. doi: 10.1002/ hep.22853.
  • [8] Lominadze Z, Kia L, Shah S, Parekh K, Levitsky J. Constrictive pericarditis as a cause of refractory ascites. ACG Case Rep J 2015; 2: 175-7. doi: 10.14309/crj.2015.46.
  • [9] Barry M, Al-Muhaidb S, Fathala A. A case report of constrictive pericarditis: a forgotten cause of refractory ascites. Radiol Case Rep 2020;15:2565-8. doi: 10.1016/j. radcr.2020.09.053.
  • [10] Celebi ZK, Keven K, Sengul S, et al. Constrictive pericarditis after renal transplantation: three case reports. Transplant Proc 2013; 45: 953-5. doi: 10.1016/j.transproceed.2013.02.060.
  • [11] Ling LH, Oh JK, Schaff HV, et al. Constrictive pericarditis in the modern era: evolving clinical spectrum and impact on outcome after pericardiectomy. Circulation 1999;100:1380-6. doi: 10.1161/01.cir.100.13.1380.
  • [12] Welch T.D, Ling L.H, Espinosa R.E, et al. Echocardiographic diagnosis of constrictive pericarditis Mayo Clinic criteria. Circulation: Cardiovascular Imaging 2014; 7:3 526-34. doi: 10.1161/CIRCIMAGING.113.001613.
  • [13] Howard JP, Jones D, Mills P, Marley R, Wragg A. Recurrent ascites due to constrictive pericarditis. Frontline Gastroenterol 2012; 3: 233-7. doi: 10.1136/flgastro-2012-100173.
  • [14] Chowdhury UK, Subramaniam GK, Kumar AS, et al. Pericardiectomy for constrictive pericarditis: a clinical, echocardiographic, and hemodynamic evaluation of two surgical techniques. Ann Thorac Surg 2006; 81: 522-9. doi: 10.1016/j.athoracsur.2005.08.009.
There are 14 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Reports
Authors

Nilufer Cetıner This is me

Berna Saylan Cevık This is me

Engin Tutar This is me

Elif Erolu This is me

Koray Ak This is me

Figen Akalın This is me

Publication Date October 27, 2021
Published in Issue Year 2021 Volume: 34 Issue: 3

Cite

APA Cetıner, N., Saylan Cevık, B., Tutar, E., Erolu, E., et al. (2021). Constrictive pericarditis diagnosed following liver transplantation. Marmara Medical Journal, 34(3), 335-338. https://doi.org/10.5472/marumj.1012634
AMA Cetıner N, Saylan Cevık B, Tutar E, Erolu E, Ak K, Akalın F. Constrictive pericarditis diagnosed following liver transplantation. Marmara Med J. October 2021;34(3):335-338. doi:10.5472/marumj.1012634
Chicago Cetıner, Nilufer, Berna Saylan Cevık, Engin Tutar, Elif Erolu, Koray Ak, and Figen Akalın. “Constrictive Pericarditis Diagnosed Following Liver Transplantation”. Marmara Medical Journal 34, no. 3 (October 2021): 335-38. https://doi.org/10.5472/marumj.1012634.
EndNote Cetıner N, Saylan Cevık B, Tutar E, Erolu E, Ak K, Akalın F (October 1, 2021) Constrictive pericarditis diagnosed following liver transplantation. Marmara Medical Journal 34 3 335–338.
IEEE N. Cetıner, B. Saylan Cevık, E. Tutar, E. Erolu, K. Ak, and F. Akalın, “Constrictive pericarditis diagnosed following liver transplantation”, Marmara Med J, vol. 34, no. 3, pp. 335–338, 2021, doi: 10.5472/marumj.1012634.
ISNAD Cetıner, Nilufer et al. “Constrictive Pericarditis Diagnosed Following Liver Transplantation”. Marmara Medical Journal 34/3 (October 2021), 335-338. https://doi.org/10.5472/marumj.1012634.
JAMA Cetıner N, Saylan Cevık B, Tutar E, Erolu E, Ak K, Akalın F. Constrictive pericarditis diagnosed following liver transplantation. Marmara Med J. 2021;34:335–338.
MLA Cetıner, Nilufer et al. “Constrictive Pericarditis Diagnosed Following Liver Transplantation”. Marmara Medical Journal, vol. 34, no. 3, 2021, pp. 335-8, doi:10.5472/marumj.1012634.
Vancouver Cetıner N, Saylan Cevık B, Tutar E, Erolu E, Ak K, Akalın F. Constrictive pericarditis diagnosed following liver transplantation. Marmara Med J. 2021;34(3):335-8.