Deceptive liver histology delays diagnosis of cardiac ascites.

Abstract:

:Cardiac ascites is a rare condition. Diagnosis is aided by liver histology, which characteristically shows diffuse hepatic congestion affecting the centrilobular region. In our case of refractory ascites due to constrictive pericarditis, diagnosis was delayed because centribular hepatic congestion was absent histologically. Contrary to numerous published reports, diffuse hepatic congestion is not uniformly present in cardiac ascites. Constrictive pericarditis is curable and should be considered in all cases of unexplained ascites, regardless of atypical hepatic histology.

journal_name

South Med J

journal_title

Southern medical journal

authors

Kirsch M,Fleshler B

doi

10.1097/00007611-199211000-00023

subject

Has Abstract

pub_date

1992-11-01 00:00:00

pages

1151-2

issue

11

eissn

0038-4348

issn

1541-8243

journal_volume

85

pub_type

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