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Title: Pericardial disease is often not recognised as a cause of chronic severe ascites
Authors: Van der Merwe, S ×
Dens, J
Daenen, Willem
Desmet, Valeer
Fevery, Johan #
Issue Date: Feb-2000
Series Title: Journal of hepatology vol:32 issue:1 pages:164-9
Abstract: BACKGROUND/AIMS: Severe chronic ascites remains a difficult diagnostic and therapeutic problem. Even in the current era, constrictive pericarditis is an underestimated and sometimes unrecognised cause. Moreover, missing the diagnosis deprives patients of remedial therapy. METHODS: Two cases of calcified constrictive pericarditis, complicated with cirrhosis and diagnosed in a late stage, are described. Due to insufficient clinical appreciation and lack of trust in echocardiography results, performed by cardiologists who were insufficiently familiar with the echocardiographic features of constrictive pericarditis, diagnosis was delayed in the two patients RESULTS: The diagnosis of constrictive pericarditis as a cause of ascites is based upon the clinical signs of right heart failure in a patient with normal systolic left and right ventricular function and a high, serumascitic albumin-content difference. Complementary workup with complete Doppler echocardiography study, right and left heart catheterisation and MRI or cine CT of the heart is necessary to confirm the diagnosis. CONCLUSION: Careful history taking and clinical examination remain the cornerstone of any diagnostic work-up, even in this era of technological refinement.
ISSN: 0168-8278
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Cardiac Surgery
Translational Cell & Tissue Research
× corresponding author
# (joint) last author

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