Open AccessHepatopulmonary Syndrome with Finger Clubbing
Author(s) -
김호경,
김원기,
김주한,
이정우,
정욱진,
권오상,
김주현
Publication year - 2021
Publication title -
the korean journal of medicine
Language(s) - English
Resource type - Journals
eISSN - 2289-0769
pISSN - 1738-9364
DOI - 10.3904/kjm.2021.96.3.236
Subject(s) - hepatopulmonary syndrome , medicine , cirrhosis , liver transplantation , complication , cardiology , physical examination , transplantation
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.