[Constrictive pericarditis as differential diagnosis of hepatic disease].

Abstract:

:Constrictive chronic pericarditis in a 13-year-old male patient was previously treated as chronic hepatitis for seven years, with the use of furosemide and spironolactone. Investigation for diagnosis included chest radiography, echo-doppler-cardiography, thoracocentesis with pleural biopsy and computerized tomography of chest, and showed ventricular diastolic restriction due to constrictive chronic pericarditis. After eight weeks of tuberculostatic treatment, the patient was submitted to hemodynamic study that confirmed the diagnosis and a pericardiectomy was performed. Long-term follow-up showed regression of diastolic restriction and decrease of hepatosplenomegaly and of jugular stasis. Tuberculostatic drugs were given for 12 months postoperatively, associated to corticosteroids.

journal_name

Arq Bras Cardiol

authors

Mustafá RM,Braile DM,Greco OT,dos Santos JL,Ardito RV,Thevenard R

subject

Has Abstract

pub_date

1991-12-01 00:00:00

pages

473-7

issue

6

eissn

0066-782X

issn

1678-4170

journal_volume

57

pub_type

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