Images in cardiology. Hepatopulmonary syndrome as a cause of persistent hypoxaemia.
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Biomedical subjects
Publications and source records attributed to S Marum.
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Echocardiography hasn't played yet a major role in the majority of the noncardiac intensive care units, specially the ones with general multi-care profile. In the past few years an increasing number of patients admitted have an important cardiac component, reason why we emphasize the role of this non invasive diagnostic tool. It's easily performed, may be repeated as many times as necessary, thus providing a quick diagnosis of the disease, its repercussions and medical or surgical interventions.
We report the case of a sixteen year old female patient, admitted to a general hospital due to fever, poliarthritis, malar rash and vasculitis. Diagnostic studies confirmed the existence of Systemic Lupus Erythematosus. Shortly after admission, the patient was transferred to an intensive care unit due to severe acute pancreatitis. In spite of its infrequency, the diagnosis of acute pancreatitis must always be considered whenever a patient with SLE presents abdominal pain. The authors emphasise the importance of an early diagnosis of this rare complication, with high mortality rates, and present a brief review of the international literature.