A Case Report of Hepatopulmonary Syndrome
Autor: | Fan Su, Muchao Huang, Liqiu Wu |
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Rok vydání: | 2015 |
Předmět: |
medicine.medical_specialty
FAILURE LIVER integumentary system Orthotopic liver transplantation business.industry General Medicine Disease respiratory system medicine.disease eye diseases Hypoxemia Heart failure Internal medicine medicine Pulmonary angiography Cardiology medicine.symptom Hepatopulmonary syndrome business Severe complication |
Zdroj: | Case Reports in Clinical Medicine. :309-312 |
ISSN: | 2325-7083 2325-7075 |
DOI: | 10.4236/crcm.2015.49061 |
Popis: | Hepatopulmonary syndrome (HPS) is a severe complication of end-stage hepatic disease. However, the majority of HPS patients present with non-specific clinical manifestations and imaging features. They are constantly misdiagnosed as interstitial pneumonia, pulmonary infection or heart failure and appropriate treatment is thus delayed. In this report, clinical manifestations, diagnosis and treatment of one case of HPS were retrospectively analyzed and literature review was conducted. When the heapatic failure liver disease patients present with hypoxemia, pulmonary angiography, contrast echocardiography for right-sided heart (contrast enhanced echocardiogram) and lung perfusion scan (99mTc-MAA) should be done to exclude HPS. Orthotopic liver transplantation serves as the unique effective therapy of HPS. |
Databáze: | OpenAIRE |
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