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Haemoptysis as a Presenting Manifestation of Hepatopulmonary Syndrome With Complete Resolution After Liver
1Pulmonary & Critical Care Medicine Sanford Health and University of North Dakota Fargo North Dakota USA.
Abstract:
Hepatopulmonary syndrome (HPS) is a pulmonary vascular complication of chronic liver disease characterised by intrapulmonary vascular dilatation and hypoxemia. Dyspnoea and orthodeoxia are classic features, while haemoptysis is rarely reported. We describe a patient with cirrhosis who presented with recurrent haemoptysis and progressive hypoxemia. Contrast-enhanced transthoracic echocardiography demonstrated intrapulmonary right-to-left shunting, which resolved following orthotopic liver transplantation, with complete cessation of haemoptysis.
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