PT  - JOURNAL ARTICLE
AU  - Ruth Porther
AU  - Gavin Ross
AU  - Subramaniam Nagasayi
TI  - Breathlessness in liver disease: A case of hepatopulmonary syndrome 
AID  - 10.7861/clinmedicine.19-3-250
DP  - 2019 May 01
TA  - Clinical Medicine
PG  - 250--251
VI  - 19
IP  - 3
4099  - http://www.rcpjournals.org/content/19/3/250.short
4100  - http://www.rcpjournals.org/content/19/3/250.full
SO  - Clin Med2019 May 01; 19
AB  - Hepatopulmonary syndrome (HPS) is often not considered as a cause of breathlessness in patients with liver cirrhosis. It consists of a triad of liver disease, intrapulmonary shunting and hypoxaemia. Here we discuss HPS in a patient presenting with acute on chronic breathlessness and typical features of orthodeoxia and platypnoea. Evidence of intrapulmonary shunting on imaging was essential to making the diagnosis, which carries a poor prognosis and was an urgent indication for liver transplantation.