دورية أكاديمية
A 45-Year-Old Undiagnosed Cirrhotic Patient with Hepatopulmonary Syndrome as First Presentation: A Case Report.
| العنوان: | A 45-Year-Old Undiagnosed Cirrhotic Patient with Hepatopulmonary Syndrome as First Presentation: A Case Report. |
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| المؤلفون: | Dhoble C; Department of Internal Medicine, N.K.P. Salve Institute of Medical Sciences and Research Center, Nagpur, India., Saoji N; Department of Internal Medicine, N.K.P. Salve Institute of Medical Sciences and Research Center, Nagpur, India., Jeswani J; Department of Internal Medicine, N.K.P. Salve Institute of Medical Sciences and Research Center, Nagpur, India., Rios R; Department of Internal Medicine, National Autonomous University of Nicaragua, Managua, Nicaragua. |
| المصدر: | The American journal of case reports [Am J Case Rep] 2015 Oct 22; Vol. 16, pp. 751-5. Date of Electronic Publication: 2015 Oct 22. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: International Scientific Information, Inc Country of Publication: United States NLM ID: 101489566 Publication Model: Electronic Cited Medium: Internet ISSN: 1941-5923 (Electronic) Linking ISSN: 19415923 NLM ISO Abbreviation: Am J Case Rep Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2014- > : Smithtown, NY : International Scientific Information, Inc. Original Publication: Albertson, NY : International Scientific Literature, Inc. |
| مواضيع طبية MeSH: | Diagnostic Errors*, Hepatopulmonary Syndrome/*complications , Liver Cirrhosis/*diagnosis, Diagnosis, Differential ; Hepatopulmonary Syndrome/diagnosis ; Humans ; Liver Cirrhosis/etiology ; Male ; Middle Aged |
| مستخلص: | Background: Hepatopulmonary syndrome (HPS) is a pulmonary complication characterized by a triad of chronic liver disease, arterial hypoxemia, and pulmonary vascular dilations. Agitated saline contrast echocardiography is a simple inexpensive criterion standard procedure for confirming the diagnosis of HPS. Case Report: Here, we discuss a case of a 45-year-old male Indian patient with no medical history who presented to our hospital with exertional dyspnea, hypoxia, and classical signs of HPS. A diagnosis of cirrhosis was made on the basis of history, liver enzymes, and ultrasound, while HPS was diagnosed using transthoracic echocardiography with agitated saline. Conclusions: HPS, although a complication of cirrhosis, can be the initial presentation in undiagnosed cirrhotic patients. Thus, it is important to include HPS in differentials when dealing with cases of progressive dyspnea. Also, the possibility of a liver disease etiology should be explored in patients with unexplained hypoxemia. |
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| تواريخ الأحداث: | Date Created: 20151023 Date Completed: 20160628 Latest Revision: 20190609 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC4621155 |
| DOI: | 10.12659/ajcr.895151 |
| PMID: | 26489790 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1941-5923 |
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| DOI: | 10.12659/ajcr.895151 |