Fetor hepaticus or
foetor hepaticus (see
spelling differences), also known as
breath of the dead, is a condition seen in
portal hypertension where
portosystemic shunting allows
mercaptans to pass directly into the
lungs. It is a late sign in
liver failure. Other possible causes are the presence of
ammonia and
ketones in the breath. The
breath has a
sweet,
faecal smell to it.