14 April 2025
: Case report 
Chronic Appendicitis-Induced Effusive-Constrictive Pericarditis and Hepatic Fibrosis: A Case Report
Unusual clinical course, Challenging differential diagnosis, Rare coexistence of disease or pathology
Jacek Kołcz
1AE*, Mirosława Dudyńska1BF, Maria Dzierzenga 2BD
DOI: 10.12659/AJCR.947326
Am J Case Rep 2025; 26:e947326
Figure 1. Initial imaging findings. (A) Chest X-ray showing an enlarged cardiac silhouette and bilateral small pleural effusions, consistent with pericardial effusion (confirmed in sonography) and early signs of systemic venous congestion. (B) An echocardiogram demonstrating a large pericardial effusion up to 3 cm in thickness (white arrow) with diastolic collapse of the right-sided heart chambers indicates cardiac tamponade.