Pre-operative and post-operative ultrasound evaluation of Budd Chiari syndrome due to coarctation of the inferior vena cava.
Coarctation of the inferior vena cava (IVC) is being increasingly recognised as a congenital and operable cause for chronic Budd Chiari syndrome. It is necessary to distinguish this entity from other causes of Budd Chiari syndrome because of a more favourable outcome after surgery. Early diagnosis would result in surgical intervention before irreversible liver damage and also possibly avoid the onset of hepatocellular carcinoma. Real time ultrasound has proved valuable in pre-operative diagnosis in nine patients with coarctation of the IVC. It has also been found useful to confirm patency of dorsal cavo-atrial bypass using polytetrafluoroethylene grafts in five patients and isthmusplasty of the IVC in one patient. Ultrasound is recommended for routine screening of high risk population.
Jayanthi
V
V
Department of Gastroenterology, Government General Hospital, Madras, India.
Victor
S
S
Dhala
B
B
Gajaraj
A
A
Madanagopalan
N
N
D000328:Adult; D006502:Budd-Chiari Syndrome / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D003251:Constriction, Pathologic / Q000150:complications / Q000175:diagnosis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D014463:Ultrasonography; D014682:Vena Cava, Inferior / Q000002:abnormalities*