Arora A, Tandon N, Sharma M P, Acharya S K
Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi.
J Clin Gastroenterol. 1991 Apr;13(2):178-81. doi: 10.1097/00004836-199104000-00012.
Budd-Chiari syndrome (BCS) and constrictive pericarditis (CP) share many common clinical features. Over the last year we encountered three patients in whom CP clinically mimicked BCS. Two of the three did not even have raised jugular venous pressure. One patient with severe jaundice and hepatic coma ultimately died. Liver biopsy features were not discriminating. The final diagnosis of CP was established by echocardiography, chest computed tomography (CT), or cardiac catheterization. We conclude that in all patients with apparent BCS and atypical features, a noninvasive test like echocardiography or chest CT should be done to rule out treatable illness like CP before embarking on such invasive procedures as liver biopsy for diagnosis.
布加综合征（BCS）和缩窄性心包炎（CP）有许多共同的临床特征。在过去一年里，我们遇到了三名临床上CP酷似BCS的患者。这三名患者中有两名甚至没有颈静脉压升高。一名患有严重黄疸和肝昏迷的患者最终死亡。肝活检特征并无鉴别意义。CP的最终诊断通过超声心动图、胸部计算机断层扫描（CT）或心导管检查得以确立。我们得出结论，对于所有表现为BCS且具有非典型特征的患者，在进行诸如肝活检诊断等侵入性操作之前，应进行超声心动图或胸部CT等非侵入性检查，以排除像CP这样可治疗的疾病。
