Chronic Hepatitis C with Cyanosis

Background. There are multiple aetiologies for dyspnea in patients with liver disease, including pneumonia, pulmonary embolism, hepatic hydrothorax, portopulmonary syndrome, and hepatopulmonary syndrome. The aim of this paper is to emphasize the importance of early diagnosis and management of hepato...

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Bibliographic Details
Published in:Case reports in hepatology 2019, Vol.2019 (2019), p.1-5
Main Authors: Alsaeed, Saeed, Abdulla, Muneer, Khamis, Jawad, Alawainati, Mahmood
Format: Article
Language:English
Subjects:
Abdomen
Case Report
Case reports
Gastroenterology
Hepatitis
Hepatitis C
Hypertension
Laboratories
Liver diseases
Oxygen therapy
Patients
Physiology
Pneumonia
Rodents
Transplants & implants
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Summary:Background. There are multiple aetiologies for dyspnea in patients with liver disease, including pneumonia, pulmonary embolism, hepatic hydrothorax, portopulmonary syndrome, and hepatopulmonary syndrome. The aim of this paper is to emphasize the importance of early diagnosis and management of hepatopulmonary syndrome. Case Presentation. We report a case of a 65-year-old male who was known to have chronic hepatitis C presented with one-year history of shortness of breath and cyanosis. The initial impression of pulmonary embolism was excluded by comprehensive diagnostic investigations. The correlation between the clinical picture and investigations raised the possibility of hepatopulmonary syndrome which was confirmed by contrast-enhanced transthoracic echocardiography. Conclusions. High suspicion is required to diagnose hepatopulmonary syndrome in patients with liver disease and hypoxemia. Screening for this complication is appropriate in liver transplant candidates, and diagnosed patients should be evaluated extensively for liver transplant.
ISSN:2090-6587
2090-6595
DOI:10.1155/2019/6586478