Abnormal portal vein waveform as an indicator of constrictive pericarditis – a case report
We report a case of a 17-year-old patient referred to our outpatient Doppler Department due to clinical suspicion of liver cirrhosis. The patient presented with non-specifi c symptoms, such as malaise, pain in the right subcostal region, peripheral oedema. Until then, diagnostic imaging, includin...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sciendo
2015-06-01
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| Series: | Journal of Ultrasonography |
| Subjects: | |
| Online Access: | http://jultrason.pl/index.php/issues/volume-15-no-61/abnormal-portal-vein-waveform-as-an-indicator-of-constrictive-pericarditis-a-case-report?aid=352 |
| Summary: | We report a case of a 17-year-old patient referred to our outpatient Doppler Department
due to clinical suspicion of liver cirrhosis. The patient presented with non-specifi c symptoms,
such as malaise, pain in the right subcostal region, peripheral oedema. Until then,
diagnostic imaging, including echocardiography was inconclusive. We performed the
Doppler sonography of the portal system, which revealed normal diameter of the portal
vein with abnormal, phasic and markedly pulsatile waveform. Hepatic veins distention
with pathological reverse fl ow during systole was reported. Additionally, inferior vena
cava was dilated and remained unchanged through the respiratory cycle. Basing on the above image a heart disease, which had not been taken into differential diagnosis
before, was suggested. The following echocardiography, together with computed tomography,
enabled a diagnosis of constrictive pericarditis. Successful pericardiotomy was
performed. Such a complicated diagnostics happened to demonstrate an uncommon
example of the use of portal vein waveform in making the proper cardiologic diagnosis. |
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| ISSN: | 2084-8404 2451-070X |