Open AccessConstrictive pericarditis as a cause of refractory ascites after liver transplantation: A case report
Author(s) -
Miran Bezjak,
Branislav Kocman,
Stipislav Jadrijević,
Hrvoje Gašparović,
Anna Mrzljak,
Tajana Filipec Kanižaj,
Darko Vujanić,
Tomislav Bubalo,
Danko Mikulić
Publication year - 2019
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v7.i20.3266
Subject(s) - medicine , ascites , liver transplantation , constrictive pericarditis , transplantation , cirrhosis , complication , heart failure , surgery , portal hypertension , peripheral edema , differential diagnosis , gastroenterology , pathology , adverse effect
Refractory ascites is a rare complication following orthotopic liver transplantation (OLT). The broad spectrum of differential diagnosis often leads to delay in diagnosis. Therapy depends on recognition and treatment of the underlying cause. Constrictive pericarditis is a condition characterized by clinical signs of right-sided heart failure. In the advanced stages of the disease, hepatic congestion leads to formation of ascites. In patients after OLT, cardiac etiology of ascites is easily overlooked and it requires a high degree of clinical suspicion.