Crohn's pericarditis identified with point-of-care ultrasonography: A case report

J Clin Ultrasound. 2021 Jan;49(1):56-58. doi: 10.1002/jcu.22920. Epub 2020 Sep 16.

Abstract

We report the case of a 71-year-old male with Crohn's disease, shortness of breath, and chest pain that highlights cardiac involvement in inflammatory bowel disease and the role of point-of-care ultrasonography using an alternate cardiac ultrasound window in making the diagnosis of Crohn's pericarditis. The role of ultrasonography in diagnosis and management of inflammatory bowel disease focuses primarily on intestinal pathology. Cardiac involvement is a rare but clinically impactful extraintestinal manifestation, the diagnosis of which benefits from ultrasonography if the clinician performing and interpreting the exam is aware of the possibility and understands the potential value of whole-body ultrasonography as part of a physical exam.

Keywords: Crohn's disease; echocardiography; pericarditis; point-of-care ultrasonography.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Crohn Disease / complications
  • Crohn Disease / diagnosis*
  • Echocardiography / methods*
  • Humans
  • Male
  • Pericarditis / diagnosis*
  • Pericarditis / etiology
  • Point-of-Care Systems*