An unusual cause of dyspnoea complicating right upper abdominal swelling
A middle aged, non-addict male presented with right upper abdominal pain and swelling with respiratory distress. Examination revealed central cyanosis, bipedal pitting edema with prominent epigastric and back veins. Liver was enlarged, tender, spanned 20 cm without any splenomegaly or ascites. Other...
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| Veröffentlicht in: | World journal of gastroenterology : WJG 2006-07, Vol.12 (25), p.4109-4111 |
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| container_title | World journal of gastroenterology : WJG |
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| creator | Mandal, Sanjay Kumar Chakraborty, Partha Pratim Bhattacharjee, Rana Chowdhury, Subhasis Roy Majumdar, Shounak |
| description | A middle aged, non-addict male presented with right upper abdominal pain and swelling with respiratory distress. Examination revealed central cyanosis, bipedal pitting edema with prominent epigastric and back veins. Liver was enlarged, tender, spanned 20 cm without any splenomegaly or ascites. Other systems were clinically normal. Laboratory investigations showed polymorphonuclear leucocytosis with slightly deranged liver function. Abdominal ultrasonography showed an abscess in the right lobe of the liver with compressed inferior vena cava （IVC）, middle and left hepatic veins. Arterial blood gas （ABG） documented hypoxia with orthodeoxia and air-contrast echocardiography was suggestive of an intrapulmonary shunt. A diagnosis of hepato-pulmonary syndrome （HPS） was made with near normal liver function secondary to amebic liver abscess. It reversed completely following successful treatment of the liver abscess. |
| doi_str_mv | 10.3748/wjg.v12.i25.4109 |
| format | Article |
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Examination revealed central cyanosis, bipedal pitting edema with prominent epigastric and back veins. Liver was enlarged, tender, spanned 20 cm without any splenomegaly or ascites. Other systems were clinically normal. Laboratory investigations showed polymorphonuclear leucocytosis with slightly deranged liver function. Abdominal ultrasonography showed an abscess in the right lobe of the liver with compressed inferior vena cava （IVC）, middle and left hepatic veins. Arterial blood gas （ABG） documented hypoxia with orthodeoxia and air-contrast echocardiography was suggestive of an intrapulmonary shunt. A diagnosis of hepato-pulmonary syndrome （HPS） was made with near normal liver function secondary to amebic liver abscess. 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Examination revealed central cyanosis, bipedal pitting edema with prominent epigastric and back veins. Liver was enlarged, tender, spanned 20 cm without any splenomegaly or ascites. Other systems were clinically normal. Laboratory investigations showed polymorphonuclear leucocytosis with slightly deranged liver function. Abdominal ultrasonography showed an abscess in the right lobe of the liver with compressed inferior vena cava （IVC）, middle and left hepatic veins. Arterial blood gas （ABG） documented hypoxia with orthodeoxia and air-contrast echocardiography was suggestive of an intrapulmonary shunt. A diagnosis of hepato-pulmonary syndrome （HPS） was made with near normal liver function secondary to amebic liver abscess. It reversed completely following successful treatment of the liver abscess.</description><subject>Adult</subject><subject>Budd-Chiari Syndrome - complications</subject><subject>Case Report</subject><subject>Dyspnea - etiology</subject><subject>Hepatopulmonary Syndrome - diagnosis</subject><subject>Hepatopulmonary Syndrome - etiology</subject><subject>Humans</subject><subject>Liver Abscess, Amebic - complications</subject><subject>Male</subject><subject>呼吸困难</subject><subject>综合征</subject><subject>腹部肿胀</subject><subject>超声检查</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkUtv1DAUhS0EotPCnhWKUNVdBj9je4NUVUCRKrGBtWU7dsZDYqd20lH_PR7NiMfKi3vOd33uAeAdglvCqfh42A_bJ4S3AbMtRVC-ABuMkWyxoPAl2CAIeSsJ5hfgspQ9hJgQhl-DC9QJBDmnG3B_G5s1rmXVY2P1WlyTfNM_lzkmpxubpnkMVi8hDk0Ow25p1nl2udGmT1OI1VQObhzr-A145fVY3NvzewV-fvn84-6-ffj-9dvd7UNrKYNLixHjomPCSGNlh6iUmjLfo945ioyX3hOKRC9EzwxyElljeyy86QU1nGJNrsCnE3dezeR66-KS9ajmHCadn1XSQf0_iWGnhvSkKBSck64Crk-Ag45ex0Ht05prkqLqNTGEHWaQsCq7Oe_J6XF1ZVFTKLZm1dGltahOMNlhTKsQnoQ2p1Ky83_-gqA6tnTkqtqSqi2pY0vV8v7fDH8N51qq4MOZuUtxeKznVUbbXz6MTtWdCGPRkd_B25vZ</recordid><startdate>20060707</startdate><enddate>20060707</enddate><creator>Mandal, Sanjay Kumar</creator><creator>Chakraborty, Partha Pratim</creator><creator>Bhattacharjee, Rana</creator><creator>Chowdhury, Subhasis Roy</creator><creator>Majumdar, Shounak</creator><general>Department of Medicine, Medical College, Kolkata,88, College Street, Kolkata, West Bengal, India</general><general>Baishideng Publishing Group Co., Limited</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope><scope>5PM</scope></search><sort><creationdate>20060707</creationdate><title>An unusual cause of dyspnoea complicating right upper abdominal swelling</title><author>Mandal, Sanjay Kumar ; 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Examination revealed central cyanosis, bipedal pitting edema with prominent epigastric and back veins. Liver was enlarged, tender, spanned 20 cm without any splenomegaly or ascites. Other systems were clinically normal. Laboratory investigations showed polymorphonuclear leucocytosis with slightly deranged liver function. Abdominal ultrasonography showed an abscess in the right lobe of the liver with compressed inferior vena cava （IVC）, middle and left hepatic veins. Arterial blood gas （ABG） documented hypoxia with orthodeoxia and air-contrast echocardiography was suggestive of an intrapulmonary shunt. A diagnosis of hepato-pulmonary syndrome （HPS） was made with near normal liver function secondary to amebic liver abscess. 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| issn | 1007-9327 2219-2840 |
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| source | MEDLINE; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Budd-Chiari Syndrome - complications Case Report Dyspnea - etiology Hepatopulmonary Syndrome - diagnosis Hepatopulmonary Syndrome - etiology Humans Liver Abscess, Amebic - complications Male 呼吸困难 综合征 腹部肿胀 超声检查 |
| title | An unusual cause of dyspnoea complicating right upper abdominal swelling |
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