Constrictive pericarditis in a young patient with very thick pericardium initially diagnosed as cirrhosis

Ther Adv Cardiovasc Dis. 2013 Dec;7(6):343-5. doi: 10.1177/1753944713513220.

Abstract

Constrictive pericarditis (CP) is a disease of pericardium that restricts filling of the heart. Patients with CP generally present to hospitals with exercise-induced dyspnea, pretibial edema and abdominal ascites, and it is sometimes mistakenly diagnosed as liver or renal disease. Pericardial thickening, which is defined as more than 4 mm in diameter, is observed in nearly 80% of patients. In the present paper, we describe a case of CP with a pericardial thickness of 12 mm that was initially diagnosed as cirrhosis.

Keywords: cirrhosis; constrictive pericarditis; thick.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Diagnostic Errors*
  • Echocardiography
  • Electrocardiography
  • Humans
  • Liver Cirrhosis / diagnosis*
  • Liver Cirrhosis / pathology
  • Male
  • Pericardiectomy
  • Pericarditis, Constrictive / diagnosis*
  • Pericarditis, Constrictive / pathology
  • Pericarditis, Constrictive / surgery
  • Pericardium / pathology*
  • Pericardium / surgery
  • Predictive Value of Tests
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Young Adult