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Budd-Chiari syndrome

Hector Ferral1, George Behrens, Jorge Lopera

  • 1Department of Radiology, Section of Interventional Radiology, NorthShore University HealthSystem, 2650 Ridge Ave, Evanston, IL 60201, USA. hectorferral@gmail.com

AJR. American Journal of Roentgenology
|September 22, 2012
PubMed

Insights

Budd-Chiari syndrome (BCS), a hepatic venous outflow obstruction, demands rapid diagnosis and tailored treatment. Management strategies include medical, surgical, and endovascular approaches, with liver transplantation as a key option.

Area of Science:

  • Hepatology
  • Vascular Medicine
  • Gastroenterology

Background:

  • Budd-Chiari syndrome (BCS) is a rare condition involving hepatic venous outflow tract obstruction.
  • It can manifest with a wide spectrum of symptoms, from asymptomatic cases to acute liver failure.
  • BCS is a form of postsinusoidal portal hypertension.

Purpose of the Study:

  • To provide a comprehensive overview of Budd-Chiari syndrome.
  • To discuss the diagnostic approaches for BCS.
  • To outline the various management strategies for BCS.

Main Methods:

  • Literature review on Budd-Chiari syndrome.
  • Synthesis of information on diagnosis and treatment modalities.
  • Discussion of medical, surgical, and endovascular interventions.

Main Results:

  • Diagnosis requires prompt identification of hepatic venous obstruction.
  • Management is individualized based on clinical presentation, etiology, and anatomical site.
  • Treatment options encompass medical management, surgical interventions, and endovascular procedures.

Conclusions:

  • Accurate and timely diagnosis of BCS is crucial.
  • Aggressive and tailored therapy is essential for favorable outcomes.
  • Management in specialized tertiary care centers with liver transplantation capabilities is recommended.
Abstract

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