@article{article_370862, title={Thick section reformatted computed tomography images are useful for the diagnosis of hepatopulmonary syndrome: A case report}, journal={Marmara Medical Journal}, volume={30}, pages={185–187}, year={2017}, DOI={10.5472/marumj.370862}, author={Çilengir, Atilla Hikmet and Karasu, Şebnem and Çetinoğlu, Yusuf Kenan and Uluç, Muhsin Engin and Tosun, Özgür}, keywords={Computed tomography,Hepatopulmonary syndrome,Liver cirrhosis}, abstract={<p>Respiratory complications, which range from mild hypoxemia </p> <p>to hepatopulmonary syndrome, can occur due to some mediators </p> <p>within the circulation in end-stage liver disease. Intrapulmonary </p> <p>vascular dilatations and shunts are the reasons of these </p> <p>complications. Thoracic imaging modalities such as radiography </p> <p>and computed tomography (CT) can be performed to evaluate </p> <p>these vascular pathologies. We reported a 37-year-old woman </p> <p>with previously known liver cirrhosis, presented with new onset </p> <p>exertional dyspnea. There were intrapulmonary shunts and dilated </p> <p>vascular structures on her thorax CT. She was diagnosed with </p> <p>hepatopulmonary syndrome by clinical symptoms, laboratory and </p> <p>imaging findings. Thick section reformatted images of CT are </p> <p>superior in demonstration of intrapulmonary shunts and dilated </p> <p>vascular structures compared with thin section axial source </p> <p>images; so we recommend that thorax CT of cirrhotic patients </p> <p>must be evaluated with thick section reformatted images for the </p> <p>determination of intrapulmonary shunts and dilated vascular </p> <p>structures. </p>}, number={3}, publisher={Marmara University}