Reversion of severe hepatopulmonary syndrome in a non cirrhotic patient after corticosteroid treatment for granulomatous hepatitis: A case report and review of the literature

Figure 1 Liver histopathology shows an epithelioid granuloma without central necrosis. The granuloma is consisted of epithelioid macrophages and some chronic inflammatory cells. There is also a multinucleated giant cell (Hematoxylin and eosin staining x 40).

Figure 2 Contrast-enhanced echocardiography image of the patient before (A, B) and after (C, D) corticosteroid treatment for granulomatous hepatitis. A, C: Microbubble appearance in the right heart chamber (RA and RV) after the bolus infusion of agitated saline; B: Microbubble opacification in the left heart chambers (LA and LV) is not detected after six to eight heart beats; D: Microbubble opacification in the left heart chambers (LA and LV)is not detected after six to eight heart beats.