Ishibe R, Maruko M, Tabata D, Toyohira H, Furuzono K, Nishimura A, Yoshida A
Department of Surgery and Cardiovascular Surgery, Minamikyushu Chuou National Hospital, Kagoshima, Japan.
Nihon Geka Gakkai Zasshi. 1990 Feb;91(2):290-2.
A 67-year-old female of Budd-Chiari syndrome was rapidly deteriorated and died. Autopsy revealed membranous obliteration of the inferior vena cava in the hepatic portion with a small hole. The inferior vena cava and right hepatic vein contained fresh and organized thrombi. The left hepatic vein was patent and opened above the membrane. The onset and the clinical course of this case seem to be atypical, probably because of the patent left hepatic vein and a small hole of the membrane. We call attention such a rare case in managing Budd-Chiari syndrome.
一名患有布加综合征的67岁女性病情迅速恶化并死亡。尸检显示肝段下腔静脉膜性闭塞，有一个小孔。下腔静脉和右肝静脉内有新鲜血栓和机化血栓。左肝静脉通畅，在隔膜上方开口。该病例的发病和临床过程似乎不典型，可能是因为左肝静脉通畅和隔膜上有一个小孔。我们在处理布加综合征时提请注意这样一个罕见病例。
