Parasitic constrictive pericarditis is a rare entity.We present a case of a 75-year-old man here who presented with dyspnea, ascites, and pedal edema and was found to have constrictive pericarditis on multimodality imaging with positive serology for Strongyloides 30x24x24 wall cabinet Stercoralis.Treatment required ivermectin and radical pericardiectomy with significant clinical improvement.
(Level of Difficulty: Intermediate.).