Hepatopulmonary Syndrome with Finger Clubbing
10.3904/kjm.2021.96.3.236
- Author:
Ho Kyung KIM
1
;
Won Ki KIM
;
Joo Han KIM
;
Jeong Woo LEE
;
Wook Jin CHUNG
;
Oh Sang KWON
;
Ju Hyun KIM
Author Information
1. Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea
- Publication Type:3
- From:Korean Journal of Medicine
2021;96(3):236-240
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hepatopulmonary syndrome is a rare lung complication of liver cirrhosis, caused by pulmonary microvascular vasodilation that induces abnormal arterial oxygenation. Typical findings on physical examination are finger clubbing and cyanosis. Dyspnea is a common symptom and is worse in the upright position. Contrast echocardiography is a useful diagnostic test. Currently, the only effective treatment is liver transplantation. We report the case of a woman with cirrhosis who has hepatopulmonary syndrome with finger clubbing, confirmed by contrast echocardiography. The patient is waiting for a liver transplant.
