[The Budd-Chiari syndrome: clinical case reports]

Two cases of Budd-Chiari's Syndrome are presented. These refer to two women aged 34 and 33 years respectively. The aetiology of the first case is linked to polycythaemia rubra and the use of oral contraceptives; that of the second case to a fibrous perihepatitis involving the outlet of the suprahepatic veins, with a tenacious action of stenosis. The surgical therapy used was a latero-terminal left porto-renal shunt in the first case, and a decapsulation and ligature of the common hepatic artery in the second case. In the discussion the aetiopathogenetic, diagnostic and therapeutic problems inherent in the Syndrome are analysed, also on the basis of the most recent experiences reported in the relevant literature.