A 47-Year-Old Man With Recurrent Unilateral Pleural Effusion

Haw, Alexandra; Kotler, Ronald; Steinberg, Kevin

doi:10.1016/j.chest.2017.06.015

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…Later on, in the disease course, the second case showed a right-sided pleural effusion. This is similar to the findings of Tse G et al [ 2 ], demonstrating a bilateral pleural effusion, but contradicting the unilateral pleural effusion with constrictive pericarditis reported by Ali A et al [ 11 ] as well as Haw A et al [ 12 ]. Our cases, therefore, are unique in presentation and disease course.…”

Section: Discussionsupporting

confidence: 88%

Constrictive Pericarditis Presenting as Bilateral Pleural Effusion: A Report of Two Cases

Gangwani¹,

Mahmood

Hasan

et al. 2018

Cureus

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Constrictive pericarditis is a rare presentation. We need a very high index of clinical suspicion to diagnose the disease. It most commonly presents secondary to tuberculosis (TB) in the developing world and post-radiation therapy in the developed world. Classically, it presents with symptoms of heart failure and as pericardial thickening or calcification on imaging studies. In hospital settings, constrictive pericarditis is not usually considered as a differential in patients presenting with pleural effusion. According to the literature, associated pleural effusions in cases of constrictive pericarditis could be left-sided. Herein, we present two unusual presentations of cases with bilateral pleural effusions. One of our cases developed constrictive pericarditis with concurrent active tuberculosis. This is a rare presentation because, normally, constrictive pericarditis is a late complication of tuberculosis. We suggest that when dealing with cases of bilateral pleural effusion, the etiology of constrictive pericarditis should be considered.

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Section: Discussionsupporting

confidence: 88%

Constrictive Pericarditis Presenting as Bilateral Pleural Effusion: A Report of Two Cases

Gangwani¹,

Mahmood

Hasan

et al. 2018

Cureus

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“…Rarely, constrictive pericarditis can present as a unilateral recurrent pleural effusion. [2][3][4] Constrictive pericarditis leads to bilateral [5] mild effusions commonly, moderate to massive effusions are rare. [6] Biochemically, these are commonly exudates but transudative effusions are also reported.…”

Section: Case Discussionmentioning

confidence: 99%

Unilateral Transudative Pleural Effusion due to rare Cause – A Case Report

Kakarla

Devanandan

Jain

et al. 2022

IJCDW

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Transudative pleural effusions are characterized by low protein and lactate dehydrogenase according to Light’s criteria. Common causes are congestive cardiac failure, nephrotic syndrome, liver cirrhosis, and protein-losing enteropathy. Constrictive pericarditis is a rare cause of transudative pleural effusion. It can cause bilateral or unilateral recurrent effusions and chylothorax rarely. Common causes of constrictive pericarditis include infections such as viruses and tuberculosis, radiation, and cardiac surgery. We present a treated case of pulmonary tuberculosis presenting with massive, left-sided, and transudative pleural effusion due to constrictive pericarditis diagnosed by computed tomography scan and 2D echo with classical findings. Incidental findings were internal jugular vein thrombus and right lower lobar pulmonary embolus. This case highlights the atypical presentation of constrictive pericarditis as unilateral pleural effusion. A proper history with a high index of suspicion is essential in the workup of constrictive pericarditis which can be cured by pericardiectomy.

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A 47-Year-Old Man With Recurrent Unilateral Pleural Effusion

Cited by 2 publications

References 10 publications

Constrictive Pericarditis Presenting as Bilateral Pleural Effusion: A Report of Two Cases

Constrictive Pericarditis Presenting as Bilateral Pleural Effusion: A Report of Two Cases

Unilateral Transudative Pleural Effusion due to rare Cause – A Case Report

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