The analysis of misdiagnosis and mistreatment in Budd-Chiari syndrome with hepatic vein obstruction
- VernacularTitle:肝静脉阻塞型布-加综合征误诊误治原因分析
- Author:
Hao TIAN
;
Hao XU
;
Guojun LI
;
Maoheng ZU
- Publication Type:Journal Article
- Keywords:
Hepatic vein thrombosis;
Imaging features;
Angioplasty
- From:
Journal of Interventional Radiology
2006;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical symptoms and imaging features of Budd-Chiari syndrome with hepatic vein obstruction (HVBCS) and the reasons of mistreatment. Methods Thirteen patients with HVBCS were misdiagnosed and mistreated as inferior vena cava (IVC) obstruction,including 8 patients treated with stent implantation in IVC once and 5 patients with balloon dilatation. After analysis of the clinical symptoms,signs and imaging features; hepatic vein obstruction was further confirmed by digital subtraction angiography (DSA)in all patients. Results All patients had variable degrees of portal hypertension and no apparent symptoms of IVC obstruction. CT or / and MRI showed obvious caudate lobe enlargement and DSA showed IVC narrowing with external compression. All patients were undertaken hepatic vein angiography including 4 with PTV and 9 with hepatic vein stent implantation. All patients' clinical symptoms and signs completely disappeared or markedly improved after the procedure. Conclusion The stenosis of IVC in HVBCS,caused by compression compensatory hypertrophy of hepatic caudate lobe can be cured by hepatic vein angioplasty which is the most correct and effective method.
