Abdominal Pain as a Consequence of Dilated Cardiomyopathy - A Rare Case Report

Dr. Vaibhav Bhandari, Dr. S. V. Dhadke, Dr. Prashant Bhokate

Abstract: A 35 year old male presented with acute pain in abdomen since 5 days. Pain was situated in left hypochondriac region with tenderness and rigidity present on per abdominal examination. Patient is a chronic alcoholic investigating further, On CECT A+ P, there were multiple Splenic infarcts with lung window showing incidental finding of LV thrombus. On transthoracic 2 Decho it revealed that patient is having dilated chambers with hypokinesia with a large mobile apical LV thrombus. Patient was given low molecular weight heparin bridging with warfarin. This case highlights a rare presentation of effect of alcohol on heart causing toxin induced dilated cardiomyopathy leading to formation of LV thrombus with consequence of splenic infarct due to systemic thromboemboli.

Keywords: Spleenic infarct, lv thrombus, dilatedncardiomyopathy