Key result
Pericardiectomy led to dramatic improvement of refractory ascites and elimination of diuretic requirement in a patient with constrictive pericarditis initially misdiagnosed as cirrhosis.
Case Report (n=1)
No
Constrictive pericarditis should be considered in the differential diagnosis of refractory ascites, especially when ascitic fluid total protein is elevated.
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Consider cardiac causes in ascites with normal platelets and elevated ALP; single case leaves broader applicability open.
Lominadze et al. (2015) conducted a case report in Refractory ascites secondary to constrictive pericarditis (n=1). Pericardiectomy was evaluated on Resolution of ascites. Pericardiectomy led to dramatic improvement of refractory ascites and elimination of diuretic requirement in a patient with constrictive pericarditis initially misdiagnosed as cirrhosis.
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