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Title: [A man with slowly progressive dyspnea on exertion]
Author(s): Laurens, S.T.; Simons, S.O. ; Arens, A.I.
Publication year: 2016
Source: Nederlands Tijdschrift voor Geneeskunde, vol. 160, (2016), article D426
ISSN: 0028-2162
Publication type: Article / Letter to editor

Please use this identifier to cite or link to this item : http://hdl.handle.net/2066/165848   http://hdl.handle.net/2066/165848

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Subject: Radboudumc 5: Inflammatory diseases RIHS: Radboud Institute for Health Sciences
Radboudumc 9: Rare cancers RIHS: Radboud Institute for Health Sciences
Organization: Pulmonary Diseases
Nuclear Medicine
Journal title:
Nederlands Tijdschrift voor Geneeskunde
Volume: vol. 160
Article number: D426
Abstract:
A 42-year-old man with a medical history of liver cirrhosis and portal hypertension was admitted to the hospital because of slowly progressive shortness of breath and hypoxemia. The diagnosis hepatopulmonary syndrome was confirmed by a pulmonary perfusion scan with 99m Tc-albumin. The scan showed a right-left shunt, because the 99m Tc-albumin transited the lungs and appeared in the brain, the thyroid gland, the kidneys and the spleen. The patient received a liver transplantation, which is considered the only definitive treatment.

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