Barcelona Hepatic Hemodynamic Laboratory, Liver Unit, Hospital Clínic de Barcelona, IDIBAPS, CIBERehd, European Reference Network for Rare Vascular Liver Diseases, Universitat de Barcelona, Spain.
Hepatology, University Clinic of Visceral Medicine and Surgery, Inselspital, and Department of Biomedical Research, University of Bern, Bern, Switzerland.
J Hepatol. 2019 Jul;71(1):175-199. doi: 10.1016/j.jhep.2019.02.015. Epub 2019 Feb 26.
Budd-Chiari syndrome and non-cirrhotic non-tumoral portal vein thrombosis are 2 rare disorders, with several similarities that are categorized under the term splanchnic vein thrombosis. Both disorders are frequently associated with an underlying prothrombotic disorder. They can cause severe portal hypertension and usually affect young patients, negatively influencing life expectancy when the diagnosis and treatment are not performed at an early stage. Yet, they have specific features that require individual consideration. The current review will focus on the available knowledge on pathophysiology, diagnosis and management of both entities.
布加综合征和非肝硬化非肿瘤性门静脉血栓形成是两种罕见疾病,具有多种相似之处,可归类为内脏静脉血栓形成。这两种疾病常与潜在的血栓形成倾向有关。它们可导致严重的门静脉高压,通常影响年轻患者,若早期诊断和治疗不当,会显著影响预期寿命。然而,它们具有需要单独考虑的特定特征。本综述将重点介绍这两种疾病的病理生理学、诊断和治疗方面的现有知识。