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: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Medical Communications Sp. z o.o.
2015-06-01
|
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 |
id |
doaj-0bf489e5aa464f0fa15e5efa67e240cb |
---|---|
record_format |
Article |
spelling |
doaj-0bf489e5aa464f0fa15e5efa67e240cb2020-11-24T23:06:42ZengMedical Communications Sp. z o.o.Journal of Ultrasonography2084-84042451-070X2015-06-01156122723010.15557/JoU.2015.0019Abnormal portal vein waveform as an indicator of constrictive pericarditis – a case reportJoanna Ścieszka0Józefa Dąbek1Paweł Cieślik2Department of Internal Medicine, Autoimmune and Metabolic Diseases, School of Medicine in Katowice, Medical University of Silesia, Katowice, PolandDepartment of Cardiology, School of Health Sciences in Katowice, Medical University of Silesia, Katowice, PolandDepartment of Internal Medicine, Autoimmune and Metabolic Diseases, School of Medicine in Katowice, Medical University of Silesia, Katowice, PolandWe 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.http://jultrason.pl/index.php/issues/volume-15-no-61/abnormal-portal-vein-waveform-as-an-indicator-of-constrictive-pericarditis-a-case-report?aid=352portal systemDoppler methodconstrictive pericarditis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Joanna Ścieszka Józefa Dąbek Paweł Cieślik |
spellingShingle |
Joanna Ścieszka Józefa Dąbek Paweł Cieślik Abnormal portal vein waveform as an indicator of constrictive pericarditis – a case report Journal of Ultrasonography portal system Doppler method constrictive pericarditis |
author_facet |
Joanna Ścieszka Józefa Dąbek Paweł Cieślik |
author_sort |
Joanna Ścieszka |
title |
Abnormal portal vein waveform as an indicator of constrictive pericarditis – a case report |
title_short |
Abnormal portal vein waveform as an indicator of constrictive pericarditis – a case report |
title_full |
Abnormal portal vein waveform as an indicator of constrictive pericarditis – a case report |
title_fullStr |
Abnormal portal vein waveform as an indicator of constrictive pericarditis – a case report |
title_full_unstemmed |
Abnormal portal vein waveform as an indicator of constrictive pericarditis – a case report |
title_sort |
abnormal portal vein waveform as an indicator of constrictive pericarditis – a case report |
publisher |
Medical Communications Sp. z o.o. |
series |
Journal of Ultrasonography |
issn |
2084-8404 2451-070X |
publishDate |
2015-06-01 |
description |
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. |
topic |
portal system Doppler method constrictive pericarditis |
url |
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 |
work_keys_str_mv |
AT joannascieszka abnormalportalveinwaveformasanindicatorofconstrictivepericarditisacasereport AT jozefadabek abnormalportalveinwaveformasanindicatorofconstrictivepericarditisacasereport AT pawełcieslik abnormalportalveinwaveformasanindicatorofconstrictivepericarditisacasereport |
_version_ |
1725621572222320640 |