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Chronic hypoxemia in a child: thinking outside the box
Barath Jagadisan1, Sriram Krishnamurthy, Renitha Raghavan
1Departments of Pediatrics and *Radiodiagnosis, JIPMER, Pondicherry, India. Correspondence to: Dr Sriram Krishnamurthy, Associate Professor, Department of Pediatrics, JIPMER, Pondicherry 605 006, India. drsriramk@yahoo.com.
Background:
Chronic hypoxemia is generally attributed to primary cardiac or pulmonary entities.
Case Characteristics:
A 9-year-old boy presenting with cyanosis, clubbing and hypoxemia, without icterus or hepatosplenomegaly. Cardiovascular and respiratory system examinations were normal.
Outcome:
He was diagnosed as type IB Abernethy malformation, a rare cause of hepatopulmonary syndrome.
Message:
Pediatricians should consider hepatopulmonary syndrome in the differential diagnosis of chronic hypoxemia, even in the absence of jaundice or hepatosplenomegaly.
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