A rare case of Gynura-segetum-related hepatic sinus obstruction syndrome complicated with alcoholic liver disease

Hepatic sinus obstruction syndrome (HSOS) is easy to be misdiagnosed or missed, and there is no unified and effective treatment for it. A patient was considered to have Budd-Chiari syndrome. He underwent a transjugular liver biopsy, and pathological examination revealed HSOS without liver cirrhosis...

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Main Authors: Yidan Gao, Xiangbo Zhang, Xiang Zhou, Jie Wang, Ling Gong, Gongying Chen
Format: Article
Language:English
Published: Pakistan Medical Association 2024-06-01
Series:Journal of the Pakistan Medical Association
Subjects:
Online Access:https://jpma.org.pk/index.php/public_html/article/view/9296
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author Yidan Gao
Xiangbo Zhang
Xiang Zhou
Jie Wang
Ling Gong
Gongying Chen
author_facet Yidan Gao
Xiangbo Zhang
Xiang Zhou
Jie Wang
Ling Gong
Gongying Chen
author_sort Yidan Gao
collection DOAJ
description Hepatic sinus obstruction syndrome (HSOS) is easy to be misdiagnosed or missed, and there is no unified and effective treatment for it. A patient was considered to have Budd-Chiari syndrome. He underwent a transjugular liver biopsy, and pathological examination revealed HSOS without liver cirrhosis. After the failure of anticoagulation therapy, he successfully received a transjugular intrahepatic portosystemic shunt (TIPS). After discharge, he was followed-up for four years with a good prognosis. G. segetum-induced HSOS can be easily overlooked, especially in patients with underlying liver diseases. When medical therapy fails, TIPS can control ascites and portal hypertension, and the long-term prognosis is optimistic. Key words: Gynura segetum; Hepatic sinusoidal obstruction syndrome; Transjugular intrahepatic portosystemic shunt.
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institution DOAJ
issn 0030-9982
language English
publishDate 2024-06-01
publisher Pakistan Medical Association
record_format Article
series Journal of the Pakistan Medical Association
spelling doaj-art-91dfba92acf44eb2abe6cd9739f2e2d12025-08-20T02:41:26ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822024-06-0174710.47391/JPMA.9296A rare case of Gynura-segetum-related hepatic sinus obstruction syndrome complicated with alcoholic liver diseaseYidan Gao0Xiangbo Zhang1Xiang Zhou2Jie Wang3Ling Gong4Gongying Chen5The affiliated Hospital of Hangzhou Normal University, China.The affiliated Hospital of Hangzhou Normal University, China.The affiliated Hospital of Hangzhou Normal University, China.The affiliated Hospital of Hangzhou Normal University, China.The affiliated Hospital of Hangzhou Normal University, China.The affiliated Hospital of Hangzhou Normal University, China Hepatic sinus obstruction syndrome (HSOS) is easy to be misdiagnosed or missed, and there is no unified and effective treatment for it. A patient was considered to have Budd-Chiari syndrome. He underwent a transjugular liver biopsy, and pathological examination revealed HSOS without liver cirrhosis. After the failure of anticoagulation therapy, he successfully received a transjugular intrahepatic portosystemic shunt (TIPS). After discharge, he was followed-up for four years with a good prognosis. G. segetum-induced HSOS can be easily overlooked, especially in patients with underlying liver diseases. When medical therapy fails, TIPS can control ascites and portal hypertension, and the long-term prognosis is optimistic. Key words: Gynura segetum; Hepatic sinusoidal obstruction syndrome; Transjugular intrahepatic portosystemic shunt. https://jpma.org.pk/index.php/public_html/article/view/9296Gynura segetumHepatic sinusoidal obstruction syndromeTransjugular intrahepatic portosystemic shunt
spellingShingle Yidan Gao
Xiangbo Zhang
Xiang Zhou
Jie Wang
Ling Gong
Gongying Chen
A rare case of Gynura-segetum-related hepatic sinus obstruction syndrome complicated with alcoholic liver disease
Journal of the Pakistan Medical Association
Gynura segetum
Hepatic sinusoidal obstruction syndrome
Transjugular intrahepatic portosystemic shunt
title A rare case of Gynura-segetum-related hepatic sinus obstruction syndrome complicated with alcoholic liver disease
title_full A rare case of Gynura-segetum-related hepatic sinus obstruction syndrome complicated with alcoholic liver disease
title_fullStr A rare case of Gynura-segetum-related hepatic sinus obstruction syndrome complicated with alcoholic liver disease
title_full_unstemmed A rare case of Gynura-segetum-related hepatic sinus obstruction syndrome complicated with alcoholic liver disease
title_short A rare case of Gynura-segetum-related hepatic sinus obstruction syndrome complicated with alcoholic liver disease
title_sort rare case of gynura segetum related hepatic sinus obstruction syndrome complicated with alcoholic liver disease
topic Gynura segetum
Hepatic sinusoidal obstruction syndrome
Transjugular intrahepatic portosystemic shunt
url https://jpma.org.pk/index.php/public_html/article/view/9296
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