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Case Reports
. 2021 Mar;42(3):153-157.
doi: 10.1542/pir.2020-0003.

A Previously Healthy Teenager with Anasarca

Affiliations
Case Reports

A Previously Healthy Teenager with Anasarca

Justin H Berger et al. Pediatr Rev. 2021 Mar.
No abstract available

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Figures

Figure 1.
Figure 1.
Cardiac testing showing abnormal lymphatic drainage and septal motion. A. Patient’s electrocardiogram demonstrating normal sinus rhythm, flattened T waves, and diffuse low-voltage QRS complexes. B and C. Magnetic resonance lymphangiography after contrast injection into the liver lymphatic bed showing abnormal connections to the duodenum (arrows) with near-complete duodenal opacification by contrast (star) (B) and after contrast injection into the inguinal lymph node revealing a slightly dilated and tortuous thoracic duct (arrows), collection of tortuous vessels in the left supraclavicular region (star), but no evidence of contrast leak into the chest or peritoneum (C). D and E. Representative echocardiographic images from the patient in apical four-chamber two-dimensional view showing normal chamber size, preserved biventricular systolic function, and prominent septal bounce (seen in supplementary video) (D) and in parasternal long-axis two-dimensional view in early diastole with notable echobright pericardium (arrows) (E).
Figure 2.
Figure 2.
Etiologies of constrictive pericarditis. This patient’s clinical course is highlighted in red.

References

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