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Related Experiment Video

Updated: May 30, 2026

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

Published on: February 13, 2026

[Budd-Chiari syndrome--case presentation].

E Gologan¹, D Achiţei, G Bălan

¹Universitatea de Medicină si Farmacie "Gr. T. Popa", Iaşi, România. elenagologan2007@yahoo.com

Chirurgia (Bucharest, Romania : 1990)

|August 23, 2011

Summary

Budd-Chiari syndrome, often caused by hepatocarcinoma, involves hepatic vein obstruction. This case highlights invasive tumor complications leading to severe portal hypertension in a patient with liver cirrhosis.

Area of Science:

Hepatology
Oncology
Vascular Surgery

Background:

Budd-Chiari syndrome is hepatic vein obstruction, frequently linked to hepatocarcinoma.
Ethanolic liver cirrhosis is a common comorbidity.
Patients often present with decompensated cirrhosis and gastrointestinal bleeding.

Observation:

A 68-year-old patient with known liver cirrhosis presented with hematemesis and melena.
Ultrasound revealed a multinodular liver mass with invasion of hepatic veins, inferior vena cava, portal vein, and biliary tract.
Endoscopy showed advanced esophageal varices with recent bleeding, gastric varices, and portal gastropathy.

Findings:

The hepatocarcinoma invasion into hepatic and inferior caval veins defined Budd-Chiari syndrome.

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Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

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Published on: February 13, 2026

This resulted in combined posthepatic, intrahepatic, and prehepatic portal hypertension.

Invasion of the biliary tract and portal vein were noted as frequent complications.

Implications:

This case underscores the complex presentation of Budd-Chiari syndrome secondary to invasive hepatocarcinoma.
It emphasizes the critical role of imaging in diagnosing extensive vascular and biliary invasion.
Understanding these invasive patterns is crucial for managing advanced liver disease and associated portal hypertension.