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Budd-Chiari Syndrome

Gruber JG - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Budd-Chiari Syndrome

History: Ascites of uncertain etiology.

Findings: MRI w/ Contrast of liver shows peripheral lack of enhancement with increased central enhancement, enlargement of the caudate lobe, and decreased signal in the hepatic vein consistent with thrombosis. Doppler ultrasound of the right upper quadrant: Intrahepatic portion of the inferior vena cava, as well as the hepatic veins, are diminutive. There is also pulsatile hepatopetal flow in the portal vein, and ascites surrounding the liver.

Ddx: 1. Primary sclerosing cholangitis. 2. Hepatic cirrhosis.

Dxhow: Confirmed via clinical presentation and characteristic radiograohic findings.

No MeSH data available.


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Budd-Chiari Syndrome

Gruber JG - MedPix (2010)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1604&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Budd-Chiari Syndrome

History: Ascites of uncertain etiology.

Findings: MRI w/ Contrast of liver shows peripheral lack of enhancement with increased central enhancement, enlargement of the caudate lobe, and decreased signal in the hepatic vein consistent with thrombosis. Doppler ultrasound of the right upper quadrant: Intrahepatic portion of the inferior vena cava, as well as the hepatic veins, are diminutive. There is also pulsatile hepatopetal flow in the portal vein, and ascites surrounding the liver.

Ddx: 1. Primary sclerosing cholangitis. 2. Hepatic cirrhosis.

Dxhow: Confirmed via clinical presentation and characteristic radiograohic findings.

No MeSH data available.