• Niger J Clin Pract · Jan 2013

    Case Reports

    Exertional abdominal pain as a symptom of secondary pulmonary hypertension in mitral stenosis.

    • J Najafian, N Toghianifar, and A Khosravi.
    • Department of cardiology, Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran. jamshid_najafian@yahoo.com
    • Niger J Clin Pract. 2013 Jan 1; 16 (1): 110-2.

    AbstractWe report a rare presentation of mitral stenosis (MS). MS is a common valvular disease, the first manifestation of which is usually easy fatigability and exertional dyspnea. As the disease progresses in severity, other signs and symptoms appear, such as orthopnea, hemoptysis, and peripheral edema. This is the first report of a case of mitral stenosis presenting with exertional abdominal pain as the first manifestation. This case report describes the clinical characteristics of a 55-year-old woman with mitral stenosis and severe pulmonary hypertension, whose first symptom was exertional abdominal pain.

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