Bhatt Pratin, Gupta Deepak K, Agrawal Dhiraj, Deshmukh Hemant, Rathod Krantikumar, Shukla Akash
Department of Gastroenterology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, 400012, India.
Department of Radiology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, 400012, India.
J Clin Exp Hepatol. 2019 May-Jun;9(3):412-415. doi: 10.1016/j.jceh.2018.08.003. Epub 2018 Aug 25.
Intra-hepatic portal-venous collaterals are characteristic of Budd-Chiari syndrome (BCS) and are usually of small caliber and seen on Doppler. Creation of large portal-systemic shunt, either radiologically (Transjugular intrahepatic porto-systemic shunt) or surgically results in excellent long term outcomes in BCS. Here, we report a series of three rare cases of asymptomatic BCS, who had spontaneous large intra-hepatic portal-systemic shunts.
肝内门静脉侧支循环是布加综合征(BCS)的特征性表现,通常管径较小,可通过多普勒超声观察到。通过放射介入(经颈静脉肝内门体分流术)或手术方式建立大的门体分流,在布加综合征中可获得良好的长期疗效。在此,我们报告3例罕见的无症状布加综合征病例,这些患者存在自发性肝内大的门体分流。