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Cardiac Cirrhosis–An Uncommon Manifestation of Common Disease

机译:心脏肝硬化-常见疾病的罕见表现

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Background: Chronic Right Heart failure is known to cause Liver Cirrhosis but it is rare. Here we are reporting the case of cardiac cirrhosis presented to us with signs of Liver Failure. Case Report : 50 year male, farmer, chronic smoker presented with progressive abdominal distension and episodes of malena since 6 months and an episode of hematemasis. On work up Liver cirrhosis was diagnosed but cause for cirrhosis was not established and on general examination pulse was irregular and features of pulmonary hypertension were present. On reviewing he revealed history of chronic cough and breathlessness with winter exacerbations and pedal edema. Chest X-ray suggested cardiomegaly, ECG suggested low voltage complex with poor R wave progression and 2-D Echo suggested pulmonary hypertension with tricuspid regurgitation with right sided dysfunction suggesting cardiac cause for cirrhosis. Conclusion: Chronic Right Heart Failure is known but rare cause of Liver cirrhosis.
机译:背景:已知慢性右心衰竭可引起肝硬化,但这种情况很少见。在这里,我们向您报告出现肝硬化并伴有肝衰竭迹象的病例。病例报告:50岁的男性,农民,长期吸烟者自6个月以来表现为进行性腹胀和马来那发作,并伴有呕血发作。进行检查时,可诊断出肝硬化,但尚无肝硬化的原因,一般检查时脉搏不规则,并表现出肺动脉高压的特征。在回顾中,他揭示了慢性咳嗽和呼吸困难的病史,并伴有冬季加重和踏板浮肿。胸部X光片提示心脏肥大,心电图提示低电压复合物,R波进展不良,二维回声提示肺动脉高压伴三尖瓣关闭不全,右侧功能障碍,提示心脏原因是肝硬化。结论:慢性右心衰竭是已知的但很少引起肝硬化的原因。

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