Management of Budd-Chiari syndrome by hepatic vein stenting after extended right hepatectomy.
Massive splenomegaly and ascites production with hypoproteinemia and hypocoagulability was observed in a 15-year-old boy after extended right hepatectomy for hepatocellular carcinoma (HCC). Angiography disclosed a kinking of the left hepatic vein immediately before the junction with the inferior vena cava. Ascites disappeared completely, and laboratory values normalized after placement of a 3-cm long balloon expandable stent. The current case shows that Budd-Chiari syndrome caused by hepatic outflow obstruction after major hepatic surgery can be managed effectively by percutaneous stent placement.
Benesch
M
M
Division of Pediatric Hematology and Oncology, Department of Pediatrics, University of Graz, Austria.
Urban
C
C
Deutschmann
H
H
Hausegger
K A
KA
Höllwarth
M
M
D000293:Adolescent; D001201:Ascites / Q000209:etiology; D006502:Budd-Chiari Syndrome / Q000209:etiology / Q000628:therapy*; D006528:Carcinoma, Hepatocellular / Q000601:surgery; D006498:Hepatectomy; D006503:Hepatic Veins; D006801:Humans; D007813:Laparotomy / Q000009:adverse effects; D008113:Liver Neoplasms / Q000601:surgery; D008297:Male; D012086:Reoperation; D013163:Splenomegaly / Q000209:etiology; D015607:Stents