title: A Case of Hepatopulmonary Syndrome.
abstract: We report the case of a 52-year-old female, a known case of Chronic Liver Disease with portal hypertension. She presented with dyspnoea, platypnoea, melena, cyanosis, clubbing and orthodeoxia. She had oesophageal varices and splenomegaly indicating portal hypertension. Her arterial blood gas revealed hypoxaemia and orthodeoxia. From this clinical background and investigation, a diagnosis of hepatopulmonary syndrome was made. Patient was managed conservatively as she was not willing for liver transplantation.
authors.affiliation: Postgraduate Student, Department of General Medicine, Madurai Medical College , Madurai, Tamil Nadu, India .
authors.forename: P B
authors.initials: PB
authors.lastname: Sriram
authors.affiliation: Postgraduate Student, Department of General Medicine, Madurai Medical College , Madurai, Tamil Nadu, India .
authors.forename: R
authors.initials: R
authors.lastname: Sindhuja
authors.affiliation: Professor, Department of General Medicine, Madurai Medical College , Madurai, Tamil Nadu, India .
authors.forename: M
authors.initials: M
authors.lastname: Natarajan
authors.affiliation: Assistant Professor, Department of General Medicine, Madurai Medical College , Madurai, Tamil Nadu, India .
authors.forename: P S Arul
authors.initials: PS
authors.lastname: Rajamurugan
authors.affiliation: Assistant Professor, Department of General Medicine, Madurai Medical College , Madurai, Tamil Nadu, India .
authors.forename: B
authors.initials: B
authors.lastname: Palanikumar
keywords: Arterial hypoxaemia; Cirrhosis; Contrast enhanced transthoracic echocardiography; Liver transplantation; Platypnoea-orthodeoxia