title: [Budd-Chiari syndrome: current medical-surgical management].
abstract: The Budd-Chiari syndrome or obstruction of the hepatic veins and/or suprahepatic inferior vena cava is a rare process, frequently associated with hypercoagulable states. There exist several clinical presentations, being most common the acute and subacute forms and rarely seen the fulminant and chronic forms (cirrhosis or fibrosis associated). We present here a female patient with Budd-Chiari syndrome produced by polycythemia, resolved by mesentericocaval interposition "H" shunt using internal jugular vein, after analyzing the current different modalities of medical-surgical treatment, specially portal system shunts and liver transplantation, related to presentation form.
authors.affiliation: Servicio de Cirugia General, Aparato Digestivo y Trasplante de Organos Abdominales, Hospital Universitario 12 de Octubre Madrid.
authors.forename: C
authors.initials: C
authors.lastname: Jiménez Romero
authors.forename: A
authors.initials: A
authors.lastname: González Chamorro
authors.forename: A
authors.initials: A
authors.lastname: Rodríguez Cañete
authors.forename: C
authors.initials: C
authors.lastname: Moreno Sanz
authors.forename: D
authors.initials: D
authors.lastname: Rodríguez Romano
authors.forename: M
authors.initials: M
authors.lastname: Manzanera Díaz
authors.forename: V
authors.initials: V
authors.lastname: Núñez Alonso
authors.forename: M
authors.initials: M
authors.lastname: Hidalgo Pascual
authors.forename: E
authors.initials: E
authors.lastname: Moreno González
mesh_terms: D006502:Budd-Chiari Syndrome / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology; D008875:Middle Aged; D010690:Phlebography; D011087:Polycythemia Vera / Q000150:complications; D011170:Portasystemic Shunt, Surgical / Q000379:methods*; D013997:Time Factors; D014463:Ultrasonography; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging
vernacular_title: Síndrome de Budd-Chiari: manejo médico-quirúrgico actual.