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Obstructive Shock Resulting From Right Atrial Collapse Compressed by Hepatomegaly: A Case Report

Year: 2025

Type: article

Abstract: A 57-year-old Rohingya man with chronic hepatitis C and a two-month history of abdominal swelling and bilateral leg edema presented to a hospital in a refugee camp. He was hypotensive (75/50 mmHg), and his hemoglobin was 5.3 g/dL. We found melena after admission. Hypotension persisted after intravenous fluid boluses followed by an infusion and transfusion. Point-of-care ultrasound revealed a significant collapse of the right atrium (RA), compressed by an enlarged liver, with a preserved left ventricular ejection fraction. Our assessment was obstructive shock due to RA collapse caused by hepatomegaly, in addition to hemorrhagic shock. Further extracellular fluid and transfusion improved his condition. RA collapse caused by hepatomegaly can cause obstructive shock.

Source: Cureus

DOI: 10.7759/cureus.79905

Author: Yutaka Tsukamoto

Institutions: Médecins Sans Frontières‎, Médecins Sans Frontières, Médecins Sans Frontières

Language: English

Topic: Ultrasound in Clinical Applications

Subfield: Critical Care and Intensive Care Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4408082707

FWCI:

Cites: 9

Cited by:

Related to: 10