Presentation
Known congestive cardiac failure presenting with abdominal distention, dyspnoea and pedal oedema.
Patient Data
Age: 35 years
Gender: Male
From the case:
Cardiac failure and the deer horn sign
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Ultrasound confirms features of biventricular cardiac decompensation demonstrated by the presence of a pericardial effusion, bilateral pleural effusions, and ascites.
There is a dilated IVC and dilated hepatic veins giving rise to the deer horn sign.
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The head, ears and horns of the deer horn are the dilated IVC, hepatic veins and feeding branches respectively.
Case Discussion
An example of the deer horn sign.
This is due to biventricular cardiac decompensation in a young patient with passive congestive hepatopathy.
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