Ces radiol. 2015, 69(2):102-105 | DOI: 10.55095/CesRadiol2015/016

Symptomatic hepatic vein stenosisCase report

Pavla Čabelková¹, Antonín Krajina¹, Vendelín Chovanec¹, Ondřej Renc¹, Petr Hůlek², Radan Brůha³

¹ Radiologická klinika LF UK a FN, Hradec Králové

² II. interní gastroenterologická klinika LF UK a FN, Hradec Králové

³ IV. interní klinika 1. LF UK a VFN, Praha

Budd-Chiari syndrome is a group of rare disorders with heterogenous spectrum of causes based on liver outflow blocation. There is a case report of a 32 year old female patient with syptomatic hepatic vein stenosis of idiopathic origin. She was treated in our department in 2014 and 2015. She suffered from refractory hydrothorax and after diuretic therapy was sent to angiointerventional unit of our hospital. The left and middle hepatic veins were hypoplastic. The stenotic right hepatic vein was treated with implantation of balloon expandable stent. After 6 months without symptoms she suffered from shortness of breath with hydrothorax, on angiography in-stent restenosis was found and balloon dilatation was performed. To maintain regression of symptoms there was no need to perform transjugular portosystemic shunt, placement of balloonexpandable stent was sufficient and it seems to be good solution for this rare type of Budd-Chiari syndrome.

Keywords: Budd-Chiari syndrome, hepatic vein stenosis, portal hypertension

Accepted: April 10, 2015; Published: June 1, 2015  Show citation