title: [Hepatopulmonary syndrome and pulmonary perfusion scan].
abstract: We introduce you a case report of a female patient who has got a chronic liver disease and who entered our hospital with clinical suspicion of pulmonary embolism. The radionuclide lung perfusion scan using 99m Technetium-labelled with macroaggregated albumin, showed an abnormal uptake out of the lungs in liver, spleen, and kidneys. Once all possible etiologies of extrapulmonary uptake were excluded and confirming that the hepatopulmonary syndrome clinical criteria were coincident with our case, we attribute that the abnormal extrapulmonary uptake was explainable due to this syndrome. This is an hepatopulmonary syndrome case in which nuclear medicine techniques were decisive for the diagnosis in front of other diagnostic tests (radiography, echography and CT) that gave valuable but non conclusive information.
authors.affiliation: Servicio de Medicina Nuclear Hospital Universitario Joan XXIII de Tarragona.
authors.forename: V
authors.initials: V
authors.lastname: Izquierdo Muro
authors.forename: D
authors.initials: D
authors.lastname: Gómez Durán
authors.forename: E
authors.initials: E
authors.lastname: Macías Fernández
authors.forename: R
authors.initials: R
authors.lastname: Siurana Escuer
authors.forename: A
authors.initials: A
authors.lastname: Pujol del Pozo
authors.forename: C
authors.initials: C
authors.lastname: Martínez de Virgala Martínez
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D006526:Hepatitis C / Q000150:complications*; D006801:Humans; D016857:Hypocapnia / Q000209:etiology; D000860:Hypoxia / Q000209:etiology; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications*; D008168:Lung / Q000000981:diagnostic imaging*; D008171:Lung Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D008875:Middle Aged; D011652:Pulmonary Circulation; D011655:Pulmonary Embolism / Q000175:diagnosis*; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014664:Vasodilation
chemical_list: D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin
vernacular_title: Síndrome hepatopulmonar y gammagrafía de perfusión pulmonar.