Hepatic-pericardio-phrenic collateral (natural shunt) in a patient with Budd-Chiari syndrome.
Hepatic venous outflow tract obstruction, Budd-Chiari syndrome (BCS), leads to portal hypertension and to the development of collaterals that bypass the obstruction. Described here is a BCS patient with an unusually large transdiaphragmatic collateral between the left hepatic and left innominate veins, which decompressed the oesophageal varices. This has not been reported earlier in the literature.
Dilawari
J B
JB
Department of Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Nagpal
N
N
Chawla
Y K
YK
Kaur
U
U
Verma
J
J
Bali
H
H
Das
K M
KM
Suri
S
S
D000328:Adult; D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging*; D006502:Budd-Chiari Syndrome / Q000000981:diagnostic imaging*; D003097:Collateral Circulation; D003964:Diaphragm / Q000098:blood supply*; D005260:Female; D006503:Hepatic Veins / Q000000981:diagnostic imaging*; D006801:Humans; D011859:Radiography