Budd-Chiari syndrome associated with liver cirrhosis: A case report
| Autor: | Zi-Kun Chen, Ai-Ling Wei, Yi-Lei Wen, Yao-Chang Luo, Qin-Feng Huang, Qiaobo Ye |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Budd-Chiari syndrome
medicine.medical_specialty Cirrhosis medicine.medical_treatment Venography Inferior vena cava 03 medical and health sciences Liver disease 0302 clinical medicine Angioplasty Case report Medicine medicine.diagnostic_test business.industry Vascular malformation Magnetic resonance imaging General Medicine medicine.disease medicine.vein 030220 oncology & carcinogenesis Liver cirrhosis Budd–Chiari syndrome 030211 gastroenterology & hepatology Radiology Balloon angioplasty business |
| Zdroj: | World Journal of Clinical Cases |
| ISSN: | 2307-8960 |
| Popis: | Background Budd-Chiari syndrome (BCS) is a rare heterogeneous liver disease characterized by obstruction of the hepatic venous outflow tract. The incidence of BCS is so low that it is difficult to detect in general practice and difficult to include within the scope of routine diagnosis. The clinical manifestations of BCS are not specific; hence, BCS tends to be misdiagnosed. Case summary We report the case of a 33-year-old Chinese woman who presented with progressive distension in the upper abdomen. She was initially misdiagnosed with liver cirrhosis (LC) due to abnormalities on an upper abdominal computed tomography scan. Although she was taking standard anti-cirrhosis therapy, her symptoms did not improve. Magnetic resonance imaging showed caudate lobe hypertrophy; and dilated lumbar and hemiazygos veins. Venography revealed membranous obstruction of the inferior vena cava owing to congenital vascular malformation. A definitive diagnosis of BCS was made. Balloon angioplasty was performed to recanalize the obstructed inferior vena cava and the patient's symptoms were completely resolved. Conclusion BCS lacks specific clinical features and can eventually lead to LC. Clinicians and radiologists must carefully differentiate BCS from LC. Correct diagnosis and timely treatment are vital to the patient's health. |
| Databáze: | OpenAIRE |
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