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Case report
Platypnoea and orthodeoxia in the hepatopulmonary syndrome
  1. Anna Surridge,
  2. Jane Atkinson and
  3. Avinash Aujayeb
  1. Acute Medicine Department, Northumbria Healthcare NHS Foundation Trust, Newcastle Upon Tyne, UK
  1. Correspondence to Dr Avinash Aujayeb; avinash.aujayeb{at}


A 71-year-old female patient with alcohol-induced cirrhosis presented with symptoms of dyspnoea. Previous extensive investigations had detected no apparent cause. Platypnoea and orthodeoxia were observed. A bubble echocardiogram revealed significant intracardiac shunting and a diagnosis of hepatopulmonary syndrome was made. The patient was discharged on home oxygen and referred for liver transplantation.

  • Respiratory medicine
  • Gastroenterology
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  • Contributors AA, JA and AS all contributed equal parts to the manuscript. AA edited the final version.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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