RT Journal Article
SR Electronic
T1 Breathlessness in liver disease: A case of hepatopulmonary syndrome 
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 250
OP 251
DO 10.7861/clinmedicine.19-3-250
VO 19
IS 3
A1 Ruth Porther
A1 Gavin Ross
A1 Subramaniam Nagasayi
YR 2019
UL http://www.rcpjournals.org/content/19/3/250.abstract
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.