Portal hypertension and hepatopulmonary syndrome in a middle-aged man with hepatitis B infection.
A 55-year-old Turkish man with a history of chronic hepatitis B for 35 years, presented with incapacitating fatigue and worsening shortness of breath. He was hospitalized several times because of hepatic encephalopathy. He underwent liver transplantation for a clinical diagnosis of Child's C cirrhosis complicated by hepatopulmonary syndrome. The explanted liver, however, was not cirrhotic and demonstrated features of hepatoportal sclerosis. Although treatment for hepatoportal sclerosis is relief of portal hypertension; in rare cases such as in this patient with liver failure, liver transplantation is indicated.
Fiel
M I
MI
Lillian and Henry M. Stratton-Hans Popper Department of Pathology, Mount Sinai School of Medicine, City University of New York, New York, USA.
Schiano
T D
TD
Suriawinata
A
A
Emre
S
S
D019694:Hepatitis B, Chronic / Q000150:complications* / Q000601:surgery; D020065:Hepatopulmonary Syndrome / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008099:Liver / Q000473:pathology; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D012598:Sclerosis