Nimali Senadheera, Karuppiah Prasanna, S. Karunarathne, C. Sarathchandra, H. Senanayake
{"title":"肝肺综合征——慢性肝细胞疾病的一种罕见并发症","authors":"Nimali Senadheera, Karuppiah Prasanna, S. Karunarathne, C. Sarathchandra, H. Senanayake","doi":"10.4038/amj.v17i2.7753","DOIUrl":null,"url":null,"abstract":"Intrapulmonary vascular dilatations in the presence of chronic liver cell disease (CLCD), portal hypertension or congenital portosystemic shunts result in hepatopulmonary syndrome (HPS). Cyanosis, platypnoea and orthodeoxia are the main clinical features and contrast echocardiography is used for its diagnosis. The only available curative therapy is liver transplantation. Here we report a case of 62-year-old lady with CLCD and portal hypertension, who was investigated for hypoxia, clubbing and cyanosis. The diagnosis of HPS was made with the aid of arterial blood gas analysis, saline bubble contrast echocardiography and computer tomographic pulmonary angiography.","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Hepatopulmonary syndrome - An unusual complication of chronic liver cell disease\",\"authors\":\"Nimali Senadheera, Karuppiah Prasanna, S. Karunarathne, C. Sarathchandra, H. Senanayake\",\"doi\":\"10.4038/amj.v17i2.7753\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Intrapulmonary vascular dilatations in the presence of chronic liver cell disease (CLCD), portal hypertension or congenital portosystemic shunts result in hepatopulmonary syndrome (HPS). Cyanosis, platypnoea and orthodeoxia are the main clinical features and contrast echocardiography is used for its diagnosis. The only available curative therapy is liver transplantation. Here we report a case of 62-year-old lady with CLCD and portal hypertension, who was investigated for hypoxia, clubbing and cyanosis. The diagnosis of HPS was made with the aid of arterial blood gas analysis, saline bubble contrast echocardiography and computer tomographic pulmonary angiography.\",\"PeriodicalId\":30600,\"journal\":{\"name\":\"Anuradhapura Medical Journal\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-07-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Anuradhapura Medical Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4038/amj.v17i2.7753\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anuradhapura Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4038/amj.v17i2.7753","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Hepatopulmonary syndrome - An unusual complication of chronic liver cell disease
Intrapulmonary vascular dilatations in the presence of chronic liver cell disease (CLCD), portal hypertension or congenital portosystemic shunts result in hepatopulmonary syndrome (HPS). Cyanosis, platypnoea and orthodeoxia are the main clinical features and contrast echocardiography is used for its diagnosis. The only available curative therapy is liver transplantation. Here we report a case of 62-year-old lady with CLCD and portal hypertension, who was investigated for hypoxia, clubbing and cyanosis. The diagnosis of HPS was made with the aid of arterial blood gas analysis, saline bubble contrast echocardiography and computer tomographic pulmonary angiography.