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Aortic aneurysm presenting as Budd Chiari syndrome
D S Samlok1, M M Saha, M Gaiha
1Department of Medicine, Maulana Azad Medical College, G.B. Pant Hospitals, New Delhi.
Insights
Budd Chiari Syndrome, a hepatic venous outflow obstruction, can manifest in two types. A rare case highlights thoraco-abdominal aortic aneurysm presenting as Type II Budd Chiari Syndrome.
Area of Science:
- Vascular Surgery
- Hepatology
- Radiology
Background:
- Budd Chiari Syndrome (BCS) is characterized by hepatic venous outflow obstruction.
- BCS is classified into Type I (hepatic vein obstruction) and Type II (inferior vena cava obstruction).
Observation:
- A patient presented with symptoms consistent with Type II BCS.
Findings:
- The underlying cause identified was a thoraco-abdominal aortic aneurysm.
- This case demonstrates a rare presentation of BCS secondary to aortic pathology.
Implications:
- Highlights the importance of considering vascular etiologies beyond typical causes in BCS diagnosis.
- Suggests a need for comprehensive vascular imaging in BCS Type II evaluations.
- Underscores the association between aortic aneurysms and venous obstruction syndromes.
Abstract:
Budd Chiari Syndrome is the eponymic designation of symptomatic post sinusoidal venous obstruction, whether or not this is associated with hepatic vein occlusion or vena caval obstruction. Dutta and associates (1) classified the syndrome into two distinct types. Type I involves obstruction to the hepatic veins while Type II pertains to an obstruction in the inferior vena cava above the entry of hepatic veins. We report a case of thoraco-abdominal aortic aneurysm presenting as Type II Budd Chiari Syndrome.