title: Long-evolution ascites in a patient with constrictive pericarditis.
abstract: Constrictive pericarditis (CP) is an uncommon disease resulting from chronic pericardial inflammation, fibrosis and calcification. Once there are atypical forms of presentation, with subtle or nonexistent cardiorespiratory symptoms, diagnosis may be challenging and difficult. Recurrent ascites in patients with congestive hepatopathy due to constrictive pericarditis is common and, in most cases, reversible after pericardiectomy. Nevertheless, development of persistent liver dysfunction may be a long-term complication. The present work describes a 23 years old man with growth delay, dyspnoea and long evolution ascites, whose exhaustive etiological investigation led to diagnosis. Afterwards the patient underwent elective surgery with symptom and general condition improvement. Ascites differential diagnosis and its association with constrictive pericarditis are briefly reviewed in this article.
authors.affiliation: Gastrenterologia, Centro Hospitalar Lisboa Norte, Portugal.
authors.forename: Gonçalo Filipe
authors.initials: GF
authors.lastname: Domingos Nunes
authors.affiliation: Centro Hospitalar Lisboa Norte. Lisboa, Portugal.
authors.forename: Narcisa
authors.initials: N
authors.lastname: Fatela
authors.affiliation: Centro Hospitalar Lisboa Norte. Lisboa, Portugal.
authors.forename: Fernando
authors.initials: F
authors.lastname: Ramalho
mesh_terms: D001201:Ascites / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D042241:Early Diagnosis; D006801:Humans; D008297:Male; D010494:Pericarditis, Constrictive / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome; D014463:Ultrasonography; D055815:Young Adult