Congestive heart failure masquerading as acute abdomen: A case report
Rationale: As an uncommon manifestation of congestive heart failure, congestive hepatopathy requires an early diagnosis in order to render appropriate care. Misdiagnosis as intraabdominal sepsis may lead to erroneous initial intervention, such as fluid boluses, that can potentially tip an already si...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
|
| Series: | Journal of Acute Disease |
| Subjects: | |
| Online Access: | http://www.jadweb.org/article.asp?issn=2221-6189;year=2022;volume=11;issue=5;spage=209;epage=211;aulast=Omar |
| _version_ | 1798018636426772480 |
|---|---|
| author | Eunizar Omar Yasheen Krishna Persand |
| author_facet | Eunizar Omar Yasheen Krishna Persand |
| author_sort | Eunizar Omar |
| collection | DOAJ |
| description | Rationale: As an uncommon manifestation of congestive heart failure, congestive hepatopathy requires an early diagnosis in order to render appropriate care. Misdiagnosis as intraabdominal sepsis may lead to erroneous initial intervention, such as fluid boluses, that can potentially tip an already sick patient with poor reserves over into an extreme state.
Patient’s Concern: A 65-year-old man was brought to the emergency department for excruciating abdominal pain, vomiting and jaundice. He also had lower limb pitting edema and was hypotensive en route.
Diagnosis: Congestive hepatopathy.
Interventions: Intravenous furosemide and fluid restriction.
Outcomes: The patient declined admission to the cardiology ward and discharged himself against medical advice after his condition was improved in the emergency department.
Lessons: It is important to pay attention to acute abdominal pain induced by extraabdominal pathologies. In this case of acute decompensated congestive heart failure, early recognition of the cause makes a difference to the management. |
| first_indexed | 2024-04-11T16:27:39Z |
| format | Article |
| id | doaj.art-ff0c08e4ca1245a2815a1bf141c7b700 |
| institution | Directory Open Access Journal |
| issn | 2221-6189 2589-5516 |
| language | English |
| last_indexed | 2024-04-11T16:27:39Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Acute Disease |
| spelling | doaj.art-ff0c08e4ca1245a2815a1bf141c7b7002022-12-22T04:14:07ZengWolters Kluwer Medknow PublicationsJournal of Acute Disease2221-61892589-55162022-01-0111520921110.4103/2221-6189.357462Congestive heart failure masquerading as acute abdomen: A case reportEunizar OmarYasheen Krishna PersandRationale: As an uncommon manifestation of congestive heart failure, congestive hepatopathy requires an early diagnosis in order to render appropriate care. Misdiagnosis as intraabdominal sepsis may lead to erroneous initial intervention, such as fluid boluses, that can potentially tip an already sick patient with poor reserves over into an extreme state. Patient’s Concern: A 65-year-old man was brought to the emergency department for excruciating abdominal pain, vomiting and jaundice. He also had lower limb pitting edema and was hypotensive en route. Diagnosis: Congestive hepatopathy. Interventions: Intravenous furosemide and fluid restriction. Outcomes: The patient declined admission to the cardiology ward and discharged himself against medical advice after his condition was improved in the emergency department. Lessons: It is important to pay attention to acute abdominal pain induced by extraabdominal pathologies. In this case of acute decompensated congestive heart failure, early recognition of the cause makes a difference to the management.http://www.jadweb.org/article.asp?issn=2221-6189;year=2022;volume=11;issue=5;spage=209;epage=211;aulast=Omarcongestive hepatopathy; heart failure; cardiohepatic; acute abdomen; liver congestion |
| spellingShingle | Eunizar Omar Yasheen Krishna Persand Congestive heart failure masquerading as acute abdomen: A case report Journal of Acute Disease congestive hepatopathy; heart failure; cardiohepatic; acute abdomen; liver congestion |
| title | Congestive heart failure masquerading as acute abdomen: A case report |
| title_full | Congestive heart failure masquerading as acute abdomen: A case report |
| title_fullStr | Congestive heart failure masquerading as acute abdomen: A case report |
| title_full_unstemmed | Congestive heart failure masquerading as acute abdomen: A case report |
| title_short | Congestive heart failure masquerading as acute abdomen: A case report |
| title_sort | congestive heart failure masquerading as acute abdomen a case report |
| topic | congestive hepatopathy; heart failure; cardiohepatic; acute abdomen; liver congestion |
| url | http://www.jadweb.org/article.asp?issn=2221-6189;year=2022;volume=11;issue=5;spage=209;epage=211;aulast=Omar |
| work_keys_str_mv | AT eunizaromar congestiveheartfailuremasqueradingasacuteabdomenacasereport AT yasheenkrishnapersand congestiveheartfailuremasqueradingasacuteabdomenacasereport |