Occult cardiac disease like asymptomatic constrictive pericarditis should be considered in patients with unexplained liver dysfunction.
May prompt cardiac evaluation in unexplained liver dysfunction; hypothesis-generating case report requiring prospective confirmation.
Congestive hepatopathy is a known complication of cardiac disease and is typically identified in the context of an established cardiac diagnosis and profound cardiopulmonary symptoms. We report the case of a 28-year-old man with liver disease secondary to asymptomatic constrictive pericarditis. This case highlights the need for gastroenterologists to consider occult cardiac disease as a cause of unexplained liver dysfunction.
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Sheth et al. (2008) studied this question.
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