title: Management of Budd-Chiari syndrome by hepatic vein stenting after extended right hepatectomy.
abstract: 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.
authors.affiliation: Division of Pediatric Hematology and Oncology, Department of Pediatrics, University of Graz, Austria.
authors.forename: M
authors.initials: M
authors.lastname: Benesch
authors.forename: C
authors.initials: C
authors.lastname: Urban
authors.forename: H
authors.initials: H
authors.lastname: Deutschmann
authors.forename: K A
authors.initials: KA
authors.lastname: Hausegger
authors.forename: M
authors.initials: M
authors.lastname: Höllwarth
mesh_terms: 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