Open AccessA rare cause of ascites in a renal transplant recipient
Author(s) -
Ganesh Kasinadhuni,
Jasmine Sethi,
Darshan Krishnappa,
Yash Paul Sharma
Publication year - 2018
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-226532
Subject(s) - medicine , constrictive pericarditis , pericardiectomy , ascites , cardiology , pericardium , central venous pressure , inferior vena cava , transplantation , surgery , blood pressure , heart rate
Thirty-five-year-old man, underwent renal transplantation 4 years back and was doing well. He now presented with complaints of ascites with engorged neck veins and dyspnoea on exertion for last 6 months. Examination showed elevated jugular venous pressure with two prominent descents, high pitched diastolic heart sound (pericardial knock). Echocardiography showed characteristic features of thickened pericardium, septal bounce, expiratory flow reversal in hepatic veins and phasic variation of mitral inflow, suggestive of constrictive pericarditis. The patient was started on empirical antitubercular therapy and diuretics. The patient symptomatically improved, but in view of persisting constrictive physiology he was planned for pericardiectomy.