Chronic calcific constrictive pericarditis is a rare condition. It can cause severe morbidity and even mortality. The diagnosis may be difficult to establish due to its variable clinical signs. We report an autopsy case of a 54-year-old male with a past medical history of well treated hypertension, diabetes and dyspnea present of 2 weeks, who was discovered dead in his bed. The postmortem examination showed a large band of calcification of the pericardium with obliteration of the pericardial space. Both pericardium and epicardium were thickened with bread-and-butter appearance. Microscopic examination showed thickened pericadium which is formed by a fibrous paucicellular tissue containing extensive basophilic calcifications.
From the *Department of Forensic Medicine, University Hospital Tahar Sfar of Mahdia, Mahdia;
†Department of Pathology, University Hospital Fattouma Bourguiba of Monastir; and
‡Faculty of Medicine, University of Monastir, Monastir, Tunisia.
Manuscript received November 17, 2018; accepted February 5, 2019.
The authors report no conflict of interest.
Reprints: Abir Aissaoui, MD, Faculty of Medicine of Monastir- University of Monastir, Department of Legal Medicine, Research Laboratory LR-12-SP, Taher Sfar Teaching Hospital, 5100 Mahdia, Tunisia. E-mail: email@example.com.