• BMJ case reports · Nov 2019

    Case Reports

    Platypnoea and orthodeoxia in the hepatopulmonary syndrome.

    • Anna Surridge, Jane Atkinson, and Avinash Aujayeb.
    • Acute Medicine Department, Northumbria Healthcare NHS Foundation Trust, Newcastle Upon Tyne, UK.
    • BMJ Case Rep. 2019 Nov 26; 12 (11).

    AbstractA 71-year-old female patient with alcohol-induced cirrhosis presented with symptoms of dyspnoea. Previous extensive investigations had detected no apparent cause. Platypnoea and orthodeoxia were observed. A bubble echocardiogram revealed significant intracardiac shunting and a diagnosis of hepatopulmonary syndrome was made. The patient was discharged on home oxygen and referred for liver transplantation.© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.

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