Abnormal portal vein waveform as an indicator of constrictive pericarditis – a case report

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Journal of Ultrasonography

Polish Ultrasound Society (Polskie Towarzystwo Ultrasonograficzne)

Subject: Medicine

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ISSN: 2084-8404
eISSN: 2451-070X

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VOLUME 15 , ISSUE 61 (June 2015) > List of articles

Abnormal portal vein waveform as an indicator of constrictive pericarditis – a case report

Joanna Ścieszka * / Józefa Dąbek / Paweł Cieślik

Keywords : portal system, Doppler method, constrictive pericarditis

Citation Information : Journal of Ultrasonography. Volume 15, Issue 61, Pages 227-230, DOI: https://doi.org/10.15557/JoU.2015.0019

License : (CC BY-SA 4.0)

Received Date : 17-November-2014 / Accepted: 10-February-2015 / Published Online: 13-September-2016

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ABSTRACT

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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REFERENCES

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