Budd Chiari syndrome - after endovascular treatment
Sudden onset swelling and pain of the abdomen. This patient was diagnosed to have Budd Chiari syndrome and treated by IVC stenting.
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Fibrosed right hepatic vein, intrahepatic collaterals, ascites and stent in IVC.
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.