LV: left ventricle; LA: left atrium; RV: right ventricle; RA: right atrium
Severe sepsis of urinary origin in a spontaneously breathing young woman. Initial vascular filling in the emergency room did not correct the state of shock and worsened violent pain of the right hypochondrium which proved to be related to a cardiac liver. Transthoracic echocardiography showed:
(i) on the apical four-chamber view, marked dilation of the right ventricle,
(ii) on the long-axis parasternal view in M-mode, marked hypokinesis of the left ventricle,
(iii) on the short-axis parasternal view, dilation of the right ventricle at its outflow tract and severe and global (affecting all walls) hypokinesis of the left ventricle.
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