Acute Budd-Chiari syndrome secondary to leiomyosarcoma of the inferior vena cava.
The authors report a case of leiomyosarcoma of the inferior vena cava, responsible for an acute Budd-Chiari syndrome. The diagnosis, suggested by lower limb edema, ascites, and renal failure, was confirmed by sonography, CT scan, and pathological examination. A mesoatrial shunt and right atrial thrombectomy were performed under extracorporeal circulation. The inferior vena cava was ligated because the tumor was considered to be unresectable.
Kracht
M
M
Service de Chirurgie Générale, Hôpital Henri Mondor, Créteil, France.
Becquemin
J P
JP
Anglade
M C
MC
Mathieu
D
D
Hillion
M L
ML
Teboul
J L
JL
D000208:Acute Disease; D000714:Anastomosis, Surgical; D006502:Budd-Chiari Syndrome / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D007890:Leiomyosarcoma / Q000150:complications*; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014682:Vena Cava, Inferior