scholarly journals A Rare Constrictive Pericarditis with Complete Separation between the Visceral and Parietal Pericardium: A Case Report

2020 ◽  
Vol 23 (4) ◽  
pp. E546-E548
Author(s):  
Qianhui Sun ◽  
Liang Ma ◽  
Peng Teng
Keyword(s):  
Case Report ◽  
Constrictive Pericarditis ◽  
Preoperative Evaluation ◽  
Venous Pressure ◽  
Abdominal Distension ◽  
Complete Separation ◽  
Lower Extremity Edema ◽  
Chronic Liver Diseases ◽  
Pericardial Disease ◽  
Parietal Pericardium

Background: Pericarditis is the most common form of pericardial disease, while constrictive pericarditis is challenging in diagnosis and is easily overlooked. Case report: A 30-year-old female presented with abdominal distension and mild lower extremity edema for 3 months. The patient was initially suspected of having cirrhosis caused by Wilson Disease. Following liver biopsy and multiple investigation, thickened, calcified pericardium was detected by echocardiography and chest computed tomography. The patient was finally diagnosed with chronic constrictive pericarditis and received pericardiectomy. Intraoperatively, we found that the heart was entirely constricted by the thickened and calcified visceral pericardium, which was completely separated from the parietal pericardium. The patient received successful pericardiectomy and had relief of symptoms after surgery. Conclusion: Patients with constrictive pericarditis may present with symptoms similar to that of chronic liver diseases, which makes it difficult and complicated for diagnosis. This case highlights the importance of comprehensive preoperative evaluation and maintaining clinical suspicion of pericarditis in patients with features of elevated systemic venous pressure. In addition, constrictive pericarditis with complete separation between visceral and parietal pericardium has seldom been reported.

scholarly journals Case Report: Constrictive Pericarditis in a Patient With Isolated Anomalous Right Upper Pulmonary Venous Return

2020 ◽  
Vol 7 ◽  
Author(s):  
Rody G. Bou Chaaya ◽  
Jeremy L. Herrmann ◽  
Roopa Akkadka Rao ◽  
Mark D. Fisch ◽  
Georges Ephrem
Keyword(s):  
Heart Failure ◽  
Case Report ◽  
Constrictive Pericarditis ◽  
Venous Return ◽  
Superior Vena ◽  
Severe Heart Failure ◽  
Vena Cava ◽  
Lower Extremity Edema ◽  
Anomalous Pulmonary Venous Return ◽  
Work Up

Thirty-eight-year-old male presented for evaluation of abdominal swelling, lower extremity edema and dyspnea on exertion. Extensive work-up in search of the culprit etiology revealed the presence of an Anomalous Right Upper Pulmonary Venous Return (ARUPVR) into the Superior Vena Cava (SVC). During the attempted repair, the pericardium was found to be thickened and constrictive. Only one other case of co-existent partial anomalous pulmonary venous return and constrictive pericarditis (CP) has been reported. The patient underwent a warden procedure with pericardial stripping with good outcomes at 45 days post-operatively. Thus, the presence of severe heart failure symptoms in the setting of ARUPVR should prompt further investigations. Also, further cases are needed to help guide management in these patients.

scholarly journals Idiopathic Effusive Constrictive Pericarditis Accompanying Multiple Complications: A Case Report

2020 ◽  
Author(s):  
Chaodi Luo ◽  
Jing Li ◽  
Yang Yan ◽  
Dan Han
Keyword(s):  
Case Report ◽  
Constrictive Pericarditis ◽  
Rare Case ◽  
Clinical Syndrome ◽  
Severe Tricuspid Regurgitation ◽  
Prognostic Predictor ◽  
Parietal Pericardium ◽  
Long Term Prognosis ◽  
Effusive Constrictive Pericarditis

Abstract IntroductionEffusive constrictive pericarditis (ECP) is a unique clinical syndrome that is characterized by the coexistence of pericardial effusion and constrictive pericardium. The etiology of ECP usually contains tuberculosis, idiopathic, and neoplastic causes. The early diagnosis, treatment strategy and prognostic predictor of ECP still remain a big problem nowadays due to the sophisticated clinical situations. Case PresentationWe here report a rare case of idiopathic ECP with thickened adherent visceral pericardium and normal parietal pericardium, accompanying multiple complications mainly comprising severe tricuspid regurgitation, hypoproteinemia, and proximal deep venous thrombosis. The patient was referred for radical pericardiectomy successfully, but the long-term prognosis may be unfavorable. DiscussionThis case aims to provide some clinical experience of such situation in which the clinician should weight the benefits and the risks to a particular patient.

Constrictive chronic pericarditis in children

2001 ◽  
Vol 11 (2) ◽  
pp. 210-213 ◽  
Author(s):  
S M A Gomes Ferreira ◽  
A Gomes Ferreira ◽  
A do Nascimento Morais ◽  
W Siriano Paz ◽  
F A Alves Silveira
Keyword(s):  
Constrictive Pericarditis ◽  
Diastolic Pressure ◽  
Venous Pressure ◽  
Restrictive Cardiomyopathy ◽  
Cardiac Catheterisation ◽  
Refractory Ascites ◽  
Resonance Imaging ◽  
Pericardial Disease ◽  
Mitral Inflow ◽  
Clinical Background

Constrictive pericarditis is a uncommom disease in children. We have now encountered pericardial thickening as the cause of severe constrictive physiology in two patients, one also having haemodynamic features of restrictive cardiomyopathy. Both patients, who had refractory ascites and evidence of increased systemic venous pressure, underwent Doppler echocardiography, cardiac catheterisation, and magnetic resonance imaging. Resonance imaging failed to show any thickning of the pericardium, but cardiac catheterisation revealed diastolic equalisation of pressures in all four chambers, with only mild elevation of pulmonary pressure in the first patient, but nearly equalisation of diastolic pressure, and a very high pulmonary arterial pressure with a difference of 7 mm Hg between the end diastolic pressures in the two ventricles in the second patient. Doppler revealed a restrictive pattern of mitral inflow, with high E and small A velocities and a short deceleration time. The clinical background did not suggest pericardial disease in either of the patients. We conclude that a careful search is needed to uncover constrictive pericarditis when there is no previous disease which may suggest late pericardial constriction. The haemodynamic features of restrictive cardiomyopathy can co-exist with pericardial restriction, and differentiation between the two entities is critical in view of the diverse management and prognosis of the two conditions.

A rare chronic constrictive pericarditis with localized adherent visceral pericardium and normal parietal pericardium: a case report

2016 ◽  
Vol 10 (3) ◽  
pp. 356-359
Author(s):  
Qingqiang Ni ◽  
Lin Yun ◽  
Rui Xu ◽  
Guohua Li ◽  
Yucai Yao ◽  
...  
Keyword(s):  
Case Report ◽  
Constrictive Pericarditis ◽  
Parietal Pericardium

Pericardial Disease

2014 ◽  
pp. 843-850
Author(s):  
Leonard S. Lilly
Keyword(s):  
Cardiac Tamponade ◽  
Constrictive Pericarditis ◽  
External Surface ◽  
Pericardial Fluid ◽  
Great Vessel ◽  
Acute Pericarditis ◽  
Inner Membrane ◽  
Pericardial Disease ◽  
Parietal Pericardium

The pericardium is a two-layered sac that surrounds the heart. It is composed of an outer stiff fibrous coat (the parietal pericardium) and a thin inner membrane that is adherent to the external surface of the heart (the visceral pericardium). The visceral pericardium reflects back at the level of the great vessel origins to form the inner lining of the parietal layer. The space between these two layers normally contains 15–50 mL of serous pericardial fluid, which permits the heart to contract in a minimum-friction environment. The major diseases of the pericardium are acute pericarditis, cardiac tamponade, and constrictive pericarditis.

The importance of ultrasound in the preoperative evaluation of patients with primary hyperthyroidism: a case report

2017 ◽  
Author(s):  
Jose Marcalo ◽  
Alexandra Araujo ◽  
Ana Wessling ◽  
Maria Raquel Carvalho ◽  
Maria Joao Bugalho
Keyword(s):  
Case Report ◽  
Preoperative Evaluation ◽  
Primary Hyperthyroidism

An Invasive Hemolymphangioma of the Pancreas in a Young Woman

2019 ◽  
Vol 21 (10) ◽  
pp. 798-800 ◽  
Author(s):  
Zhijun Zhang ◽  
Qinghong Ke ◽  
Weiliang Xia ◽  
Xiuming Zhang ◽  
Yan Shen ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Young Woman ◽  
Benign Tumor ◽  
Abdominal Distension ◽  
Accurate Diagnosis ◽  
Cystic Tumor ◽  
Rare Benign Tumor ◽  
Radical Surgical Resection

Background: Hemolymphangioma is a rare benign tumor. To the best of our knowledge, there were only 10 reports of this tumor of the pancreas until March 2018. Case Report: Here, we reported a large invasive hemolymphangioma of the pancreas in a young woman with a complaint of abdominal distension and an epigastric mass about 3 weeks. She was found to have a huge multilocular cystic tumor at the neck and body of pancreas on computed tomography. She was eventually diagnosed with hemolymphangioma of the pancreas after operation. After 2 years of follow-up, there was no signs of recurrence. Conclusion: From our case and literature, we can conclude that hemolymphangioma of the pancreas is uncommon benign tumor, and it is hard to make an accurate diagnosis preoperatively. Radical surgical resection should be performed whenever possible. The prognosis of this disease seems good.

scholarly journals Hydatid Disease Simulating Acute Abdomen: A Case Report and Brief Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Georgios Lianos ◽  
Georgios Baltogiannis ◽  
Avrilios Lazaros ◽  
Konstantinos Vlachos
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Hydatid Disease ◽  
Acute Abdominal Pain ◽  
Abdominal Distension ◽  
The Body ◽  
Parasitic Disease ◽  
Review Of The Literature ◽  
Diffuse Abdominal Pain ◽  
Operating Surgeon

Introduction. Hydatid disease is caused by the tapewormEchinococcus granulosusand is still a matter of public health in many regions of the world, where it is an endemic parasitic disease. Although the liver is the most involved organ, hydatidosis can be found anywhere in the human body. Rare forms of location may lead to diagnostic and therapeutic dilemmas.Case Report. Herein we report a rare case of acute abdominal pain and progressively increasing abdominal distension due to abdominal and multiple splenic echinococcosis in a 72-year-old Caucasian male. We also provide a brief review of the literature.Conclusion. Although hydatid disease is found most often in the liver and lungs, rarely any organ of the body can be involved by this zoonosis. Though rare, the possibility of unusual location of echinococcosis must always be considered by the operating surgeon, when dealing with diffuse abdominal pain in endemic areas, because any misinterpretation may result in unfavorable outcomes.

Sign in / Sign up

Export Citation Format

Share Document