Terabayashi H, Okuda K, Nomura F, Ohnishi K, Wong P
Gastroenterology. 1986 Jul;91(1):219-24. doi: 10.1016/0016-5085(86)90462-2.
A 24-yr-old woman with hemolytic anemia developed multiple thrombosis of the hepatic vein and inferior vena cava. She was found to have circulating lupus anticoagulant that could have been causally related to the thrombosis and hence the Budd-Chiari syndrome. On her first admission to the hospital vena cava and hepatic vein catheterizations revealed partial thrombotic occlusion of the cava at the level of the diaphragm, which was subsequently transformed into complete membranous obstruction. The right hepatic vein, which was patent on the first admission, was also completely occluded. These observations support the theory that membranous obstruction of the inferior vena cava is a sequela to inferior vena caval thrombosis rather than a congenital anomaly.
一名24岁的溶血性贫血女性出现了肝静脉和下腔静脉多处血栓形成。发现她体内存在循环狼疮抗凝物，这可能与血栓形成以及进而导致的布加综合征存在因果关系。她首次入院时，下腔静脉和肝静脉插管检查显示，在膈肌水平下腔静脉存在部分血栓性闭塞，随后转变为完全性膜性梗阻。首次入院时通畅的右肝静脉也完全闭塞。这些观察结果支持了下腔静脉膜性梗阻是下腔静脉血栓形成的后遗症而非先天性异常这一理论。
