A case of unexplained hypoxemia.

Abstract:

:We present a patient with acute-onset dyspnea and unexplained severe hypoxemia. No signs of severe cardiopulmonary disease, pulmonary arterial hypertension, or pulmonary embolism were present. The patient was diagnosed with hepatopulmonary syndrome, since liver disease of alcoholic origin was present, markedly increased alveolar-arterial oxygen difference existed, and intrapulmonary vascular dilations were demonstrated. The condition of the patient did not improve and he was referred for liver transplantation, which is the only treatment option with documented efficacy. The case highlights the importance of thinking outside the thorax when evaluating patients with dyspnea.

journal_name

Respir Care

journal_title

Respiratory care

authors

Madsen PH,Hess S,Madsen HD

doi

10.4187/respcare.01612

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

1963-6

issue

11

eissn

0020-1324

issn

1943-3654

pii

rc01612r3madsen

journal_volume

57

pub_type

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