Budd Chiari syndrome - after endovascular treatment

Case contributed by Dr Rengarajan R

Presentation

Sudden onset swelling and pain of the abdomen. This patient was diagnosed to have Budd Chiari syndrome and treated by IVC stenting.

Patient Data

Age: 13
Gender: Male

Fibrosed right hepatic vein, intrahepatic collaterals, ascites and stent in IVC.

Case Discussion

This patient was found to have a narrow IVC on venography and hence stented.

The diagnosis of Budd-Chari syndrome is based on the involvement of hepatic veins although intrahepatic collateral circulation and dilated caudate veins are also important and frequent signs.

Half of the patients will develop regenerative nodules that can simulate hepatocellular carcinoma.

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Case information

rID: 24346
Case created: 8th Aug 2013
Last edited: 20th Sep 2015
Inclusion in quiz mode: Excluded

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