title: Budd-Chiari syndrome complicated by hepatocellular carcinoma with no evidence of infection with hepatitis virus: a case report.
abstract: Hepatocellular carcinoma occurs in patients with Budd-Chiari syndrome. However, the etiology of hepatocellular carcinoma accompanied with Budd-Chiari syndrome has not been elucidated. We report a case of Budd-Chiari syndrome with membranous obstruction of the inferior vena cava complicated by hepatocellular carcinoma in an 80 year-old man. There was no evidence of co-infection with hepatitis A, B, C, D, E, and G virus. Histologically, the non-cancerous liver tissue showed chronic venous congestion with no evidence of hepatitis virus-associated liver cirrhosis. This case suggests that chronic venous congestion of the liver may be one of the pathologic conditions that occurs in hepatocellular carcinoma.
authors.affiliation: Second Department of Medicine, Kurume University School of Medicine, Japan. takumi@med.kurume-u.ac.jp
authors.forename: T
authors.initials: T
authors.lastname: Kawaguchi
authors.forename: M
authors.initials: M
authors.lastname: Sata
authors.forename: N
authors.initials: N
authors.lastname: Ono
authors.forename: S
authors.initials: S
authors.lastname: Sakisaka
authors.forename: H
authors.initials: H
authors.lastname: Koga
authors.forename: H
authors.initials: H
authors.lastname: Ijuin
authors.forename: K
authors.initials: K
authors.lastname: Mitsuyama
authors.forename: T
authors.initials: T
authors.lastname: Ueno
authors.forename: M
authors.initials: M
authors.lastname: Kage
authors.forename: K
authors.initials: K
authors.lastname: Tanikawa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography; D001707:Biopsy, Needle; D006502:Budd-Chiari Syndrome / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006528:Carcinoma, Hepatocellular / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D004279:DNA, Viral / Q000032:analysis; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic; D006508:Hepatitis Antibodies / Q000032:analysis; D006518:Hepatitis Viruses / Q000235:genetics / Q000276:immunology; D006525:Hepatitis, Viral, Human / Q000150:complications / Q000175:diagnosis; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008297:Male; D014057:Tomography, X-Ray Computed
chemical_list: D004279:DNA, Viral; D006508:Hepatitis Antibodies