A Case of Hepatopulmonary Syndrome
Published: March 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/.7435
P.B. Sriram, R. Sindhuja, M. Natarajan, P.S. Arul Rajamurugan, B. Palanikumar
1. Postgraduate Student, Department of General Medicine, Madurai Medical College, Madurai, Tamil Nadu, India.
2. Postgraduate Student, Department of General Medicine, Madurai Medical College, Madurai, Tamil Nadu, India.
3. Professor, Department of General Medicine, Madurai Medical College, Madurai, Tamil Nadu, India.
4. Assistant Professor, Department of General Medicine, Madurai Medical College, Madurai, Tamil Nadu, India.
5. Assistant Professor, Department of General Medicine, Madurai Medical College, Madurai, Tamil Nadu, India.
Correspondence
Dr P.B. Sriram,
No.127, Oasis Postgraduate Hostel, Madurai Medical College, Panagal Road, Madurai-625020, Tamil Nadu, India.
E-mail: srirampb@gmail.com
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.
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