Hepatocellular carcinoma with Budd-Chiari syndrome due to membranous obstruction of the inferior vena cava with long-term follow-up: a case report
- Author:
Choong Hee KIM
1
;
Gwang Hyeon CHOI
;
Hee Young NA
;
Chang Jin YOON
;
Jai Young CHO
;
Sangmi JANG
;
Ji Hye KIM
;
Eun Sun JANG
;
Jin-Wook KIM
;
Sook-Hyang JEONG
Author Information
- Publication Type:Case Report
- From:Journal of Liver Cancer 2022;22(2):194-201
- CountryRepublic of Korea
- Language:English
- Abstract: Membranous obstruction of the inferior vena cava (MOVC) is a rare subset of Budd-Chiari syndrome (BCS) with a subacute onset that is often complicated by cirrhosis and hepatocellular carcinoma (HCC). Here we report a case of recurrent HCC in a patient with cirrhosis and BCS that was treated with several episodes of transarterial chemoembolization followed by surgical tumorectomy, whereas the MOVC was successfully treated with balloon angioplasty followed by endovascular stenting. The patient was followed up for 9.9 years without anticoagulation and experienced no stent thrombosis. After the tumorectomy, the patient was HCC-free for 4.4 years of follow-up.
