Síndrome hepatopulmonar en paciente con hipertensión portal no cirrótica. Reporte de caso / Case report of hepatopulmonary syndrome in patients with non-cirrhotic portal hypertension
Rev. colomb. gastroenterol
;
27(4): 323-326, oct.-dic. 2012. ilus
Article
in Spanish
| LILACS
| ID: lil-675269
RESUMEN
Presentamos el caso de una paciente con diagnóstico de síndrome hepatopulmonar (SHP) secundario a hipertensión portal no cirrótica subyacente, en el contexto de trombosis crónica de la vena porta y la mesentérica, por trombofilia primaria (deficiencia de proteína C-S). Se hizo el diagnóstico de SHP al encontrar una ecocardiografía contrastada con solución salina agitada positiva para un shunt extracardíaco, una gammagrafía con macroagregados de albúmina con evidencia de captación a nivel cerebral e hipoxemia persistente con gradiente alvéolo-arterial elevado para la edad de la paciente.
ABSTRACT
We report the case of a female patient diagnosed with hepatopulmonary syndrome (HPS) which occurred in the context of chronic thrombosis of the portal and mesenteric veins resulting from primary thrombophilia (protein C and protein S deficiencies). This case of HPS was diagnosed when echocardiography with agitated saline contrast showed the patient was positive for extra cardiac shunt. Scintigraphy using albumin macro-aggregates showed evidence of uptake in the brain and persistent hypoxemia with elevated alveolar-arterial gradient for the age of the patient.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Thrombosis
/
Hepatopulmonary Syndrome
/
Focal Nodular Hyperplasia
Limits:
Adult
/
Female
/
Humans
Language:
Spanish
Journal:
Rev. colomb. gastroenterol
Journal subject:
Gastroenterology
Year:
2012
Type:
Article
Affiliation country:
Colombia
Institution/Affiliation country:
Universidad de Antioquia/CO
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