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Severe Calcific Chronic Constrictive Pericarditis as an Unexpected Cause of Death: An Autopsy Case

Marwa Boussaid, Mohamed Amin Mesrati, Yosra Mahjoub, Hiba Limem, Nouha Ben Abdeljalil, Abdelfatteh Zakhama, Abir Aissaoui
American Journal of Forensic Medicine and Pathology 2019 March 30
Chronic calcific constrictive pericarditis is a rare condition. It can cause severe morbidity and even mortality. The diagnosis may be difficult to establish due to its variable clinical signs. We report an autopsy case of a 54-year-old male with a past medical history of well treated hypertension, diabetes and dyspnea present of 2 weeks, who was discovered dead in his bed. The postmortem examination showed a large band of calcification of the pericardium with obliteration of the pericardial space. Both pericardium and epicardium were thickened with bread-and-butter appearance. Microscopic examination showed thickened pericadium which is formed by a fibrous paucicellular tissue containing extensive basophilic calcifications.


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