Intumescent abdomen,diminish strength and pericarditis
10.3760/cma.j.issn.2095-428X.2016.01.019
- VernacularTitle:腹部膨隆伴体力下降，心包积液
- Author:
Wenwen SHEN
;
Liping ZOU
;
Chen FENG
;
Xiuyu SHI
- Publication Type:Journal Article
- Keywords:
Diminished strength;
Hydropericardium;
Pericarditis
- From:
Chinese Journal of Applied Clinical Pediatrics
2016;(1):71-73
- CountryChina
- Language:Chinese
-
Abstract:
There was a 1 1 -year -old school -aged girl complaining of abdomen intumescing and declining physical fitness for 1 6 months,and hydropericardium for 5 months.The child had a intumescent abdomen and strength diminished strength suddenly.After the strenuous exercise she was more tired than before and lost her appetite.The girl was found cardiac enlargement and calcification of pericardium during security check at the airport.The thoracoabdomi-nal computed tomography(CT)suggested hydropericardium,hydrothorax effusion in the right,and seroperitoneum,pel-vic effusion.The girl had no response to pericardiocentesises,anti -inflammation and antituberculosis therapies.The in-flammatory markers and the findings of autoimmunity were normal after her admission.The purified protein derivatives (PPD)test was (++),but the antituberculosis therapy was invalid,so the diagnosis was unclear.The she had peri-cardiectomy.The pericardium visceral and parietale′s pathology showed hyperplasia,hyalinosis and organization of fi-brous connective tissue,congestion of the blood capillaries,infiltration of inflammatory cells.Terminally,she was diag-nosed as constrictive pericarditis.Symptoms disappeared after treatments with cardiotonic,diuretic and potassium sup-ply.The comprehensive analysis is important clinically,the possible causes should be removed gradually,and pathologi-cal examination must be emphasized during the diagnosis of constrictive pericarditis.
