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Related Experiment Videos

Sonography in Budd-Chiari syndrome.

Nitin Chaubal1, Manjiri Dighe, Vijay Hanchate

  • 1Thane Ultrasound Centre, Shanti Nivas, Dr Moose Road, Talaopali, Thane 400601, India. chaubal@bom3.vsnl.net.in

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
|February 24, 2006
PubMed
Summary

Sonography effectively diagnoses Budd-Chiari syndrome (BCS), an uncommon disorder often misdiagnosed. Key findings include IVC abnormalities, hepatic vein thrombosis, and ascites, guiding diagnosis.

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Area of Science:

  • Radiology
  • Hepatology
  • Vascular Imaging

Background:

  • Budd-Chiari syndrome (BCS) is a rare hepatic vascular disease characterized by obstruction of hepatic venous outflow.
  • It often presents with nonspecific symptoms, leading to delayed diagnosis and poor outcomes.
  • Accurate and timely diagnosis is crucial for effective management.

Purpose of the Study:

  • To present a comprehensive overview of the sonographic features of Budd-Chiari syndrome.
  • To highlight the diagnostic utility of ultrasound in identifying BCS.
  • To correlate sonographic findings with the underlying pathophysiology.

Main Methods:

  • Ultrasound examinations utilizing curvilinear (2-5 MHz) and linear (5-12 MHz) transducers.
  • Color and spectral Doppler sonography performed in all patients.

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  • Standardized patient preparation including fasting for at least 6 hours.

    • Main Results:

    • Common sonographic findings include inferior vena cava (IVC) webs/thrombi, IVC narrowing, hepatic venous thrombosis, and enlarged caudate lobes.
    • Ascites, intrahepatic/extrahepatic collaterals, and abnormal hepatic venous flow patterns (monophasic to absent) are frequently observed.
    • High flow velocities in stenotic segments of the IVC or hepatic veins and visualization of IVC stents in treated patients.

    Conclusions:

    • Budd-Chiari syndrome is an uncommon condition with often poor outcomes, frequently misdiagnosed or underdiagnosed.
    • Sonography is a noninvasive, effective, and valuable imaging modality for the diagnosis of BCS.
    • Characteristic sonographic findings aid in early detection and management of BCS.