Journal of Gastrointestinal & Digestive System
Open Access

Case Report

Cardiac Cirrhosis May Present Ten Years after Pericardiectomy for Chronic Constrictive Pericarditis

Madhumita Premkumar^1*, Devaraja Rangegowda¹, Amrish Sawhney¹, Awinash Sinha¹, Tanmay Vyas¹, Saloni Nitin Desai³, Shrruti Grover², Joshi YK¹ and Chhagan Bihari²

¹Department of Hepatology, Institute of Liver and Biliary Sciences, Vasant Kunj, New Delhi, India

²Department of Pathology, Institute of Liver and Biliary Sciences, Vasant Kunj, New Delhi, India

³Department of Radiodiagnosis, Institute of Liver and Biliary Sciences, Vasant Kunj, New Delhi, India

Corresponding Author:

Dr. Madhumita Premkumar
Senior Resident, Department of Hepatology
ILBS, New Delhi 110070, India
Tel: 919540951061
E-mail: drmadhumitap@gmail.com

Received Date: July 14, 2015 Accepted Date: September 14, 2015 Published Date:September 20, 2015

Citation:Premkumar M, Rangegowda D, Sawhney A, Sinha A, Vyas T, et al. (2015) Cardiac Cirrhosis May Present Ten Years after Pericardiectomy for Chronic Constrictive Pericarditis. J Gastrointest Dig Syst S13: S13-001. doi:10.4172/2161-069X.1000S13-002

Copyright: ©2015, Premkumar M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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.

Keywords