A rare cause of ascites in a renal transplant recipient

Ganesh Kasinadhuni, Jasmine Sethi, Darshan Krishnappa, Yash Paul Sharma

Research output: Contribution to journalArticlepeer-review

Abstract

Thirty-five-year-old man, underwent renal transplantation 4 years back and was doing well. He now presented with complaints of ascites with engorged neck veins and dyspnoea on exertion for last 6 months. Examination showed elevated jugular venous pressure with two prominent descents, high pitched diastolic heart sound (pericardial knock). Echocardiography showed characteristic features of thickened pericardium, septal bounce, expiratory flow reversal in hepatic veins and phasic variation of mitral inflow, suggestive of constrictive pericarditis. The patient was started on empirical antitubercular therapy and diuretics. The patient symptomatically improved, but in view of persisting constrictive physiology he was planned for pericardiectomy.

Original languageEnglish (US)
Article number226532
JournalBMJ case reports
Volume2018
DOIs
StatePublished - 2018

Keywords

  • pericardial disease
  • renal transplantation
  • tb and other respiratory infections
  • tuberculosis

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