A Case of Hepatopulmonary Syndrome OD17-OD19
Dr P.B. Sriram,
No.127, Oasis Postgraduate Hostel, Madurai Medical College, Panagal Road, Madurai-625020, Tamil Nadu, India.
We report the case of a 52-year-old female, a known case of Chronic Liver Disease with portal hypertension. She presented with dyspnoea, platypnoea, melena, cyanosis, clubbing and orthodeoxia. She had oesophageal varices and splenomegaly indicating portal hypertension. Her arterial blood gas revealed hypoxaemia and orthodeoxia. From this clinical background and investigation, a diagnosis of hepatopulmonary syndrome was made. Patient was managed conservatively as she was not willing for liver transplantation.