A man with slowly progressive dyspnea on exertion

A 42-year-old man with a medical history of liver cirrhosis and portal hypertension was admitted to the hospital because of slowly progressive shortness of breath and hypoxemia. The diagnosis hepatopulmonary syndrome was confirmed by a pulmonary perfusion scan with 99m Tc-albumin. The scan showed a...

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Bibliographic Details
Published inNederlands tijdschrift voor geneeskunde Vol. 160; p. D426
Main Authors Laurens, S T, Simons, S O, Arens, A I J
Format Journal Article
LanguageDutch
Published Netherlands 2016
Subjects
Adult
Dyspnea - etiology
Dyspnea - physiopathology
Hepatopulmonary Syndrome - complications
Hepatopulmonary Syndrome - diagnostic imaging
Hepatopulmonary Syndrome - surgery
Humans
Liver Transplantation
Lung - diagnostic imaging
Lung - physiopathology
Male
Physical Exertion - physiology
Radionuclide Imaging
Radiopharmaceuticals
Technetium Tc 99m Aggregated Albumin
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Summary:A 42-year-old man with a medical history of liver cirrhosis and portal hypertension was admitted to the hospital because of slowly progressive shortness of breath and hypoxemia. The diagnosis hepatopulmonary syndrome was confirmed by a pulmonary perfusion scan with 99m Tc-albumin. The scan showed a right-left shunt, because the 99m Tc-albumin transited the lungs and appeared in the brain, the thyroid gland, the kidneys and the spleen. The patient received a liver transplantation, which is considered the only definitive treatment.
ISSN:0028-2162
1876-8784