Key result
A 49-year-old female presenting with a nodular liver and worsening shortness of breath was diagnosed with cardiac cirrhosis secondary to constrictive pericarditis.
Case Report (n=1)
Constrictive pericarditis should be considered in the differential diagnosis of patients presenting with unexplained cirrhosis and shortness of breath.
Answers are grounded in this paper and cite their sources.
Supports considering constrictive pericarditis in unexplained cirrhosis with dyspnea; single case leaves open need for confirmatory studies.
49-year-old white female with remote h/o sarcoidosis was referred to GI when her liver was noted to be nodular. Physical examination revealed normal vital signs and no icterus, spider nevi, clubbing, ascites, hepatosplenomegaly, or ankle edema. LFTs, hepatitis serologies, ANA, AMA, ASMA, Ferritin, Ceruloplasmin, and α 1-AT, level were unremarkable. Liver biopsy showed cirrhosis. She developed worsening of baseline SOB and was hospitalized. She was eventually diagnosed with constrictive pericarditis. A diagnosis of cardiac cirrhosis was made.
No takes yet. Share an insight, caveat, or question.
Alkaddour et al. (2014) conducted a case report in Cardiac cirrhosis (n=1). A 49-year-old female presenting with a nodular liver and worsening shortness of breath was diagnosed with cardiac cirrhosis secondary to constrictive pericarditis.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: