Budd-Chiari Syndrome in a Patient with Hepatitis C
Chronic Budd-Chiari syndrome can present with cirrhosis and signs and symptoms similar to those of other chronic liver diseases. We present a case of Budd-Chiari syndrome discovered during attempted transjugular intrahepatic portosystemic shunting in a patient with decompensated cirrhosis believed t...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2016/7493970 |
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| author | Joseph Frankl Charles Hennemeyer Michael S. Flores Archita P. Desai |
| author_facet | Joseph Frankl Charles Hennemeyer Michael S. Flores Archita P. Desai |
| author_sort | Joseph Frankl |
| collection | DOAJ |
| description | Chronic Budd-Chiari syndrome can present with cirrhosis and signs and symptoms similar to those of other chronic liver diseases. We present a case of Budd-Chiari syndrome discovered during attempted transjugular intrahepatic portosystemic shunting in a patient with decompensated cirrhosis believed to be secondary to hepatitis C. Although the patient had hepatocellular carcinoma, the Budd-Chiari syndrome was a primary disease due to hepatic venous webs. Angioplasty was performed in this case, which resolved the patient’s symptoms related to portal hypertension. Follow-up venography 5 months after angioplasty demonstrated continued patency of the hepatic veins. A biopsy was obtained in the same setting, which showed centrilobular fibrosis indicating that venous occlusion was indeed the cause of cirrhosis. It is important to consider a second disease when treating a patient with difficult to manage portal hypertension. |
| format | Article |
| id | doaj-art-162c3396789f4c8b85da50df1480b541 |
| institution | OA Journals |
| issn | 2090-6587 2090-6595 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Hepatology |
| spelling | doaj-art-162c3396789f4c8b85da50df1480b5412025-08-20T02:02:36ZengWileyCase Reports in Hepatology2090-65872090-65952016-01-01201610.1155/2016/74939707493970Budd-Chiari Syndrome in a Patient with Hepatitis CJoseph Frankl0Charles Hennemeyer1Michael S. Flores2Archita P. Desai3University of Arizona College of Medicine, Tucson, AZ 85724, USADepartment of Medical Imaging, University of Arizona College of Medicine, Tucson, AZ 85724, USADepartment of Pathology, University of Arizona College of Medicine, Tucson, AZ 85724, USADivision of Gastroenterology, Department of Medicine, University of Arizona College of Medicine, Tucson, AZ 85724, USAChronic Budd-Chiari syndrome can present with cirrhosis and signs and symptoms similar to those of other chronic liver diseases. We present a case of Budd-Chiari syndrome discovered during attempted transjugular intrahepatic portosystemic shunting in a patient with decompensated cirrhosis believed to be secondary to hepatitis C. Although the patient had hepatocellular carcinoma, the Budd-Chiari syndrome was a primary disease due to hepatic venous webs. Angioplasty was performed in this case, which resolved the patient’s symptoms related to portal hypertension. Follow-up venography 5 months after angioplasty demonstrated continued patency of the hepatic veins. A biopsy was obtained in the same setting, which showed centrilobular fibrosis indicating that venous occlusion was indeed the cause of cirrhosis. It is important to consider a second disease when treating a patient with difficult to manage portal hypertension.http://dx.doi.org/10.1155/2016/7493970 |
| spellingShingle | Joseph Frankl Charles Hennemeyer Michael S. Flores Archita P. Desai Budd-Chiari Syndrome in a Patient with Hepatitis C Case Reports in Hepatology |
| title | Budd-Chiari Syndrome in a Patient with Hepatitis C |
| title_full | Budd-Chiari Syndrome in a Patient with Hepatitis C |
| title_fullStr | Budd-Chiari Syndrome in a Patient with Hepatitis C |
| title_full_unstemmed | Budd-Chiari Syndrome in a Patient with Hepatitis C |
| title_short | Budd-Chiari Syndrome in a Patient with Hepatitis C |
| title_sort | budd chiari syndrome in a patient with hepatitis c |
| url | http://dx.doi.org/10.1155/2016/7493970 |
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