Korean J Med.  2021 Jun;96(3):236-240. 10.3904/kjm.2021.96.3.236.

Hepatopulmonary Syndrome with Finger Clubbing

Affiliations
  • 1Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea

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.

Keyword

Hepatopulmonary syndrome; Liver cirrhosis; Digital clubbing; 간폐증후군; 간경변; 곤봉지
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