Das C J, Soneja M, Tayal S, Chahal A, Srivastava S, Kumar A, Baruah U
Department of Radiology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110029, India.
Department of Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110029, India.
Clin Radiol. 2018 Jul;73(7):610-624. doi: 10.1016/j.crad.2018.02.003. Epub 2018 Mar 15.
Budd-Chiari syndrome (BCS) is a clinical condition resulting from impaired hepatic venous drainage, in which there is obstruction to the hepatic venous outflow at any level from the small hepatic veins to the junction of the inferior vena cava and the right atrium leading to hepatic congestion. The diagnosis of BCS is based on imaging, which can be gathered from non-invasive investigations such as ultrasonography coupled with venous Doppler, triphasic computed tomography (CT) and magnetic resonance imaging (MRI). Apart from diagnosis, various interventional radiology procedures aid in the successful management of this syndrome. In this article, we present various imaging features of BCS along with various interventional procedures that are used to treat this diverse condition.
布加综合征(BCS)是一种因肝静脉引流受损导致的临床病症,即从小肝静脉到下腔静脉与右心房交界处的任何水平的肝静脉流出道受阻,进而引起肝脏充血。BCS的诊断基于影像学检查,这些检查可通过非侵入性检查获取,如超声检查结合静脉多普勒、三相计算机断层扫描(CT)和磁共振成像(MRI)。除了诊断之外,各种介入放射学程序有助于成功治疗该综合征。在本文中,我们介绍了BCS的各种影像学特征以及用于治疗这种复杂病症的各种介入程序。