Digestive Diseases and Sciences (2018) 63:797–802 https://doi.org/10.1007/s10620-018-4920-z C ASE REPOR T Ascites Due to Constrictive Pericardial Disease Not Appreciated on Echocardiogram: A Report of Three Cases 1,2 1 2 Steven‑Huy B. Han · Celia Yau · Eva E. Chin Received: 11 November 2017 / Accepted: 7 January 2018 / Published online: 18 January 2018 © Springer Science+Business Media, LLC, part of Springer Nature 2018 KEYWORDS Ascites · Cardiac ascites · Pericardial disease · Cardiac tamponade · Echocardiogram Background Case Presentations Approximately 80% of patients presenting with new-onset Case 1 ascites have underlying cirrhosis . Only about 3% of ascites is caused by cardiac failure , and among these A 61-year-old Hispanic male was referred to our liver clinic patients, only about 8% is caused by constrictive pericarditis with a 4-year history of recurrent ascites. He had never expe- . Making the correct diagnosis of constrictive pericarditis rienced any other complications suggestive of liver disease, is important, as this is a potentially curable form of ascites including jaundice, hematemesis, or encephalopathy. He had and, with appropriate management, irreversible hepatic dam- no shortness-of-breath, cough, or chest pain. He had never age can be avoided. Pericardiectomy offers many patients a experienced any constitutional symptoms including uninten- cure and the likelihood of symptom-free survival . tional
Digestive Diseases and Sciences – Springer Journals
Published: Jan 18, 2018
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