Brinson R R, Curtis W D, Schuman B M, Mills L R
Department of Internal Medicine, Medical College of Georgia, Augusta 30912-2623.
Dig Dis Sci. 1988 Dec;33(12):1615-20. doi: 10.1007/BF01535954.
A 22-year-old female with active ulcerative colitis developed massive ascites, hypoalbuminemia, and hepatomegaly compatible with thrombosis of the hepatic veins. The diagnosis of Budd-Chiari syndrome was confirmed by ultrasonography, computed tomography, and by liver biopsy. A search of the literature disclosed only three previous reports of Budd-Chiari syndrome occurring in patients with ulcerative colitis. All patients have been young females with active colitis and no other known risk factor for the development of hepatic vein thrombosis. Our patient, unlike the previously reported patients who died, recovered sufficiently to be discharged from the hospital.
一名患有活动性溃疡性结肠炎的22岁女性出现大量腹水、低白蛋白血症和肝脏肿大，符合肝静脉血栓形成。通过超声检查、计算机断层扫描和肝活检确诊为布加综合征。文献检索仅发现此前有3例溃疡性结肠炎患者发生布加综合征的报告。所有患者均为患有活动性结肠炎的年轻女性，且无其他已知的肝静脉血栓形成风险因素。与之前报道的死亡患者不同，我们的患者恢复良好，已出院。
