Solak, YalçınSelçuk, NedimTekinalp, MehmetÖzbek, OrhanAtalay, Hüseyin2020-03-262020-03-262009Solak, Y., Selçuk, N., Tekinalp, M., Özbek, O., Atalay, H., (2009). Constrictive Calcific Pericarditis Masked by Haemodialysis. NDT Plus, (2), 425-426. Doi: 10.1093/ndtplus/sfp0791753-0784https://dx.doi.org/10.1093/ndtplus/sfp079https://hdl.handle.net/20.500.12395/24122We admitted a maintenance haemodialysis patient with hypotension and weakness. He had undergone cadaveric renal transplantation 19 years earlier. He had lost his kidney due to chronic allograft nephropathy 1 year after transplantation and returned to haemodialysis. He had hypotension, especially remarkable during haemodialysis. He also had hepatitis C but no cirrhosis. The patient denied a previous pulmonary tuberculosis. On physical examination, he was hypotensive (80/60 mmHg) but without peripheral oedema, neck vein distention or hepatomegaly. Heart sounds were weakly heard and there was no audible murmur or friction rub. Pericardial calcification was noticed on chest x-ray (Figure 1). Echocardiography could not visualize the pericardium or heart. Only coarse calcification of the pericardium from the subphrenic angle, but no further detail, was visible. Subsequently, we performed computerized tomography of the pericardium (Figure 2), which revealed a crescent-like calcification of the pericardium. There were calcific plaques on the right lower lobe of the pulmonary pleura as well.en10.1093/ndtplus/sfp079info:eu-repo/semantics/openAccesscalcificationconstrictive pericarditishaemodialysismaskedArticle2425426N/A