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Related Experiment Videos

Pseudo-Budd-Chiari syndrome.

V M Dhawan, J J Sziklas, R P Spencer

    Clinical Nuclear Medicine
    |January 1, 1978
    PubMed
    Summary

    A patient presented with symptoms mimicking Budd-Chiari syndrome but autopsy revealed no thrombosis. This condition, termed pseudo-Budd-Chiari syndrome, involves hepatic vein compression and is potentially treatable.

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    Area of Science:

    • Hepatology
    • Vascular Surgery
    • Pathology

    Background:

    • Budd-Chiari syndrome (BCS) is characterized by hepatic venous outflow obstruction, typically due to thrombosis.
    • Accurate diagnosis is crucial as BCS can lead to severe liver damage and failure.

    Purpose of the Study:

    • To describe a unique case presenting with BCS-like symptoms but lacking thrombotic occlusion.
    • To introduce and define the 'pseudo-Budd-Chiari syndrome' as a distinct clinical entity.

    Main Methods:

    • Clinical case presentation.
    • Review of laboratory, radiographic, and scintigraphic findings.
    • Autopsy examination to determine the cause of hepatic vein obstruction.

    Main Results:

    • Autopsy revealed no thrombotic occlusion of intrahepatic veins.
    • The right hepatic vein was compressed by a hypertrophied left liver lobe.
    • The left hepatic vein showed narrowing.

    Conclusions:

    • The described condition, termed pseudo-Budd-Chiari syndrome, mimics BCS but results from extrinsic compression, not thrombosis.
    • Pseudo-Budd-Chiari syndrome is a potentially treatable condition, distinguishing it from typical BCS.

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