Tsauo Jiaywei, Li Xiao
Jiaywei Tsauo, Xiao Li, Institute of Interventional Radiology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
World J Gastroenterol. 2015 Mar 7;21(9):2858-61. doi: 10.3748/wjg.v21.i9.2858.
A 65-year-old woman with Budd-Chiari syndrome (BCS) presented with right upper quadrant pain. A computed tomography (CT) scan showed a saccular aneurysm located at the extrahepatic portal vein main branch measuring 3.2 cm in height and 2.5 cm × 2.4 cm in diameter. The aneurysm was thought to be associated with BCS as there was no preceding history of trauma and it had not been present on Doppler ultrasound examination performed 3 years previously. Because of increasing pain and concern for complications due to aneurysm size, the decision was made to relieve the hepatic venous outflow obstruction. Transjugular intrahepatic portosystemic shunt (TIPS) was created without complications. She had complete resolution of her abdominal pain within 2 d and remained asymptomatic after 1 year of follow-up. CT scans obtained after TIPS showed that the aneurysm had decreased in size to 2.4 cm in height and 2.0 cm × 1.9 cm in diameter at 3 mo, and had further decreased to 1.9 cm in height and 1.6 cm × 1.5 cm in diameter at 1 year.
一名患有布加综合征（BCS）的65岁女性出现右上腹疼痛。计算机断层扫描（CT）显示在肝外门静脉主分支处有一个囊状动脉瘤，高度为3.2厘米，直径为2.5厘米×2.4厘米。由于没有外伤史且3年前的多普勒超声检查未发现该动脉瘤，因此认为该动脉瘤与布加综合征有关。由于疼痛加剧且担心动脉瘤大小导致并发症，决定解除肝静脉流出道梗阻。成功进行了经颈静脉肝内门体分流术（TIPS），无并发症发生。她在2天内腹痛完全缓解，随访1年后仍无症状。TIPS术后的CT扫描显示，动脉瘤在3个月时高度减小至2.4厘米，直径为2.0厘米×1.9厘米，在1年时进一步减小至高度1.9厘米，直径为1.6厘米×1.5厘米。
