| Autor: |
Harry L A, Janssen, Adriaan C I T L, Tan, Hugo W, Tilanus, Herold J, Metselaar, Pieter E, Zondervan, Solko W, Schalm |
| Rok vydání: |
2002 |
| Předmět: |
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| Zdroj: |
Hepato-gastroenterology. 49(45) |
| ISSN: |
0172-6390 |
| Popis: |
Three patients with rapid onset decompensated liver disease who were referred to our hospital with presumed Budd-Chiari syndrome are described. This diagnosis was based on marked hepatomegaly, caudate lobe hypertrophy and failure to visualize hepatic veins by Doppler-ultrasound examination. Detailed history, biochemistry, and histology were, however, highly suggestive of alcoholic liver cirrhosis with steatohepatitis-induced hepatomegaly. On angiographic examination narrowed but patent hepatic veins were demonstrated in 2 patients. A third patient died before further work-up could be performed; autopsy showed patent hepatic veins. These cases show that the radiological diagnosis of Budd-Chiari syndrome due to hepatic vein obstruction can be false positive and that suspected hepatic vein occlusion on Doppler-ultrasound should be confirmed by angiographic studies and on liver histology. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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