Right-sided heart failure is not uncommon. A careful jugular venous examination looking for the distinct Kussmaul's sign and rapid X-Y descents, which are highly indicative of constrictive pericarditis, is markedly helpful in guiding the correct diagnosis and proper management.

C H11ONIC constrictive pericarditis, interestingly enough, was one of the very first pathologic conditions to be recognized. This is natural in view of the rather obvious gross lesion found at autopsy. Hence wlhei the custom of postmortem examinations b)egan to be established, pericarditis and its sequelae were quickly identified. Lower,8 in 1669, described the clinical effect of interference o...

C H11ONIC constrictive pericarditis, interestingly enough, was one of the very first pathologic conditions to be recognized. This is natural in view of the rather obvious gross lesion found at autopsy. Hence wlhei the custom of postmortem examinations b)egan to be established, pericarditis and its sequelae were quickly identified. Lower,8 in 1669, described the clinical effect of interference o...

INTRODUCTION Constrictive pericarditis is characterized by constriction of the heart secondary to pericardial inflammation. Cardiovascular magnetic resonance (CMR) imaging is useful imaging modality for addressing the challenges of confirming this diagnosis. It can be used to exclude other causes of right heart failure, such as pulmonary hypertension or myocardial infarction, determine whether ...

Penile strangulation caused by a thread or human hair is an uncommon cause of urethral injury described in paediatric practice. Five children presented with this entity to the Aga Khan University Hospital, Karachi between August, 1991 and August, 1992. Three children had uneventful recoveries after removal of the constricting agent. Two patients developed urethrocutaneous fistulae and partial a...