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Hindi Case Report
Cardiac Cirrhosis May Present Ten Years after Pericardiectomy for Chronic Constrictive Pericarditis
Madhumita Premkumar1*, 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.
Abstract
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.
