Coué O, Fornes P, Paraf F, Couétil J P, Bruneval P
Service d'Anatomie Pathologique, Hôpital Broussais, Paris.
Gastroenterol Clin Biol. 1996 Mar;20(2):196-9.
Budd-Chiari syndrome with inferior vena cava involvement is usually due to membranous obstruction; traumatic origin of inferior vena cava lesions is very rare. We report a case of Budd-Chiari syndrome in a 29 year-old man, 3 years after an abdominal trauma. Cavography showed 50% stenosis in the sushepatic portion of the inferior vena cava. After two unsuccessful percutaneous transluminal angioplasty procedures, a surgical resection of the stenotic vein was performed. The histological study of the stenotic segments showed that the three layers of the venous wall had been replaced by a dense fibrous tissue. No inflammation or thrombosis were found. This case of stenosis of the vena cava shows that histological examination can be used to assess the traumatic nature of the lesion, showing a different histological pattern from that of the membranous obstruction in which the basic structure of the venous wall is preserved.
伴有下腔静脉受累的布加综合征通常是由于膜性梗阻；下腔静脉病变的创伤性起源非常罕见。我们报告一例29岁男性在腹部创伤3年后发生布加综合征的病例。腔静脉造影显示下腔静脉肝上段有50%的狭窄。在两次经皮腔内血管成形术失败后，对狭窄静脉进行了手术切除。狭窄段的组织学研究表明，静脉壁的三层结构已被致密的纤维组织取代。未发现炎症或血栓形成。这例腔静脉狭窄病例表明，组织学检查可用于评估病变的创伤性性质，显示出与膜性梗阻不同的组织学模式，膜性梗阻中静脉壁的基本结构得以保留。
