Hepatic hydropericardium

A 41‐year‐old man with chronic hepatitis C and cirrhosis presented with pericardial effusion and tamponade requiring pericardiocentesis. Nine liters of pericardial fluid was drained with complete resolution of his ascites. He represented with recurrent pericardial effusions despite salt restriction...

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Veröffentlicht in:Journal of gastroenterology and hepatology 2004-01, Vol.19 (1), p.109-112
Hauptverfasser: CHEUNG, TING KIN, TAM, WILLIAM, BARTHOLOMEUSZ, DYLAN, HARLEY, HUGH, JOHNSON, RICHARD
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container_issue 1
container_start_page 109
container_title Journal of gastroenterology and hepatology
container_volume 19
creator CHEUNG, TING KIN
TAM, WILLIAM
BARTHOLOMEUSZ, DYLAN
HARLEY, HUGH
JOHNSON, RICHARD
description A 41‐year‐old man with chronic hepatitis C and cirrhosis presented with pericardial effusion and tamponade requiring pericardiocentesis. Nine liters of pericardial fluid was drained with complete resolution of his ascites. He represented with recurrent pericardial effusions despite salt restriction and diuretic therapy. Subsequent radionuclide scans demonstrated a direct connection between the peritoneal and pericardial spaces. A pericardial window was formed but despite this there was recurrence of pericardial effusion and pleural effusion. The patient underwent orthotopic liver transplantation 7 months later and no recurrence of pleural or pericardial effusion was observed following transplantation. We believe this is the first case report of pericardial effusion secondary to cirrhotic ascites and a communication between the peritoneal and pericardial cavities.
doi_str_mv 10.1111/j.1440-1746.2004.03128.x
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
ascites
Ascites - diagnostic imaging
Ascites - etiology
Biological and medical sciences
Cardiac Tamponade - diagnostic imaging
Cardiac Tamponade - etiology
cirrhosis
Echocardiography
Gastroenterology. Liver. Pancreas. Abdomen
Hepatitis C, Chronic - complications
Hepatitis C, Chronic - surgery
Humans
hydropericardium
hydrothorax
Liver Cirrhosis - complications
Liver Cirrhosis - surgery
Liver Transplantation
Male
Medical sciences
pericardial effusion
Pericardial Effusion - diagnostic imaging
Pericardial Effusion - etiology
tamponade
Tomography, Emission-Computed, Single-Photon
title Hepatic hydropericardium
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