Saad Eddin Assim, Ramzan Umar, Saad Aldin Ehab
University of Iowa Hospitals and Clinics, Department of Radiology, 200 Hawkins Dr, Iowa City, IA 52242, USA.
Northwestern University Feinberg School of Medicine, 420 E Superior St, Chicago, IL 60611, USA.
Radiol Case Rep. 2024 Apr 13;19(7):2608-2612. doi: 10.1016/j.radcr.2024.03.036. eCollection 2024 Jul.
Budd-Chiari syndrome is an uncommon disorder characterized by occlusion of hepatic veins. It can lead to portal hypertension. Most common causes of this syndrome are hypercoagulability states. Transjugular intrahepatic portosystemic shunt is often not possible given the portal venous thrombosis. In these cases, direct intrahepatic portocaval shunt, involving the creation of an access between the portal vein and the systemic circulation via the intrahepatic inferior vena cava has proven to be a feasible alternative, and can improve portal hypertension in these patients. Herein, we present a case of a 37-year-old woman diagnosed with Budd-Chiari syndrome that was successfully treated with percutaneous ultrasound (US)-guided direct intrahepatic portocaval shunt.
布加综合征是一种以肝静脉闭塞为特征的罕见疾病。它可导致门静脉高压。该综合征最常见的病因是高凝状态。鉴于门静脉血栓形成，经颈静脉肝内门体分流术通常不可行。在这些病例中，经肝内下腔静脉在门静脉和体循环之间建立通路的直接肝内门腔分流术已被证明是一种可行的替代方法，并且可以改善这些患者的门静脉高压。在此，我们报告一例37岁女性被诊断为布加综合征，经皮超声引导下直接肝内门腔分流术治疗成功。
