Differential diagnosis of ascites in internal medicine: clinical case

I N Tikhonov; M S Zharkova; M V Maevskaya; V N Zozulya; V I Leschenko; T P Nekrasova; M G Arslanyan; N P Musina; M A Tatarkina; R T Rzaev; K B Puzakov; V T Ivashkin; M S Malikova

doi:10.26442/terarkh201890874-80

Терапевтический архив (Aug 2018)

Differential diagnosis of ascites in internal medicine: clinical case

I N Tikhonov,
M S Zharkova,
M V Maevskaya,
V N Zozulya,
V I Leschenko,
T P Nekrasova,
M G Arslanyan,
N P Musina,
M A Tatarkina,
R T Rzaev,
K B Puzakov,
V T Ivashkin,
M S Malikova

Affiliations

I N Tikhonov: Scientific Research Department of Innovative Therapy of the Scientific and Technological Park of Biomedicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University); V.H. Vasilenko Clinic of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
M S Zharkova: V.H. Vasilenko Clinic of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
M V Maevskaya: The Department of Propaedeutics of Internal Medicine of the Faculty of Physiology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
V N Zozulya: The Department of Propaedeutics of Internal Medicine of the Faculty of Physiology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
V I Leschenko: The Department of Propaedeutics of Internal Medicine of the Faculty of Physiology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
T P Nekrasova: Acad. A.I. Strukov Department of Pathological Anatomy, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
M G Arslanyan: V.H. Vasilenko Clinic of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
N P Musina: V.H. Vasilenko Clinic of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
M A Tatarkina: V.H. Vasilenko Clinic of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
R T Rzaev: V.H. Vasilenko Clinic of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
K B Puzakov: V.H. Vasilenko Clinic of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
V T Ivashkin: Scientific Research Department of Innovative Therapy of the Scientific and Technological Park of Biomedicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University); V.H. Vasilenko Clinic of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University); The Department of Propaedeutics of Internal Medicine of the Faculty of Physiology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
M S Malikova: B.V. Petrovsky Russian Scientific Center of Surgery

DOI: https://doi.org/10.26442/terarkh201890874-80
Journal volume & issue: Vol. 90, no. 8
pp. 74 – 80

Abstract

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Ascites and hydrothorax may be the symptoms of congestive heart failure and do not always reflects presense of the decompensated liver cirrhosis. Clinical examination of patient with chronic hepatitis C which cyanosis of the lips, cervival veins pulsation, a triple heart rhythm indicated on pathology of the heart (constrictive pericarditis), which was confirmed by instrumental methods. Congestive heart failure has lead to the congestive liver in a young female patient. Regression of all the symptoms of heart failure occurred after surgical treatment (pericardectomy).

Published in Терапевтический архив

ISSN: 0040-3660 (Print); 2309-5342 (Online)
Publisher: "Consilium Medicum" Publishing house
Country of publisher: Russian Federation
LCC subjects: Medicine
Website: http://ter-arkhiv.ru/en/

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