Victor S, Jayanthi V, Panchanadam M, Chitra S, Vijayalakshmi C S, Madanagopalan N
Heart Institute, Madras, India.
Trop Gastroenterol. 1994 Jul-Sep;15(3):161-8.
A young girl presented with Budd-Chiari syndrome (BCS) with narrowing of the retrohepatic segment of inferior vena cava (VC). Dorsal cavoatrial bypass (DCAB) was unsuccessful due to thrombotic occlusion of the graft. A limited autopsy revealed occlusion of the retrohepatic segment of IVC and the terminal parts of the three major hepatic veins. Caval occlusion was just above the level of the superior hepatic veins, and caused by a transverse fibrous shelf. An adult filarial worm was found amidst pericaval fibrosis. Filariasis should be included as a possible aetiological factor in chronic BCS.
一名年轻女孩出现布加综合征（BCS），伴有下腔静脉（VC）肝后段狭窄。由于移植物血栓形成闭塞，背腔房分流术（DCAB）未成功。有限的尸检显示下腔静脉肝后段和三条主要肝静脉末端闭塞。腔静脉闭塞恰好在肝上静脉水平上方，由横向纤维架引起。在腔静脉周围纤维化中发现一条成虫丝虫。丝虫病应被视为慢性布加综合征可能的病因之一。
