Key result
A 51-year-old male developed cardiac cirrhosis presenting with portal hypertension 10 years after undergoing pericardiectomy for chronic constrictive pericarditis.
Case Report (n=1)
Cardiac cirrhosis can present as a late complication up to 10 years after pericardiectomy for chronic constrictive pericarditis.
Alerts clinicians to possible late cardiac cirrhosis after pericardiectomy; leaves open incidence and surveillance needs.
A 51 year old male, presented to us with progressive abdominal distention and jaundice since 1 month, and a single episode of hematemesis. He had undergone pericardiectomy 10 years back for chronic constrictive pericarditis (CCP) and had completed a course of anti-tubercular therapy following the surgery. Physical examination revealed normal vital signs and mild icterus, moderate ascites, splenomegaly, and mild ankle edema. On endoscopy, he found to have large esophageal varices and endoscopic variceal ligation (EVL) was performed. Thyroid function tests, hepatitis serologies, autoimmune assays (ANA, AMA) ASMA, ferritin, ceruloplasmin, and α1-AT, level were unremarkable. Liver biopsy showed cirrhosis. After extensive evaluation, a diagnosis of cardiac cirrhosis was made.
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Premkumar et al. (2015) conducted a case report in Cardiac cirrhosis following chronic constrictive pericarditis (n=1). Pericardiectomy was evaluated on Diagnosis of cardiac cirrhosis. A 51-year-old male developed cardiac cirrhosis presenting with portal hypertension 10 years after undergoing pericardiectomy for chronic constrictive pericarditis.
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