title: Transjugular intrahepatic cavoportal shunt for Budd-Chiari syndrome.
abstract: Budd-Chiari syndrome (BCS) is characterized by obstruction of the hepatic venous outflow tract. Therapeutic options for BCS are limited. We report a case of a 21-year-old woman with protein S and C deficiency with gross ascites. Treatment with transjugular intrahepatic portosystemic shunt (TIPS) was attempted, which revealed occluded hepatic veins, so transcaval TIPS was performed. No serious procedure-related complication occurred. After successful shunt creation, the patient's symptoms subsided and she was discharged and followed up for 6 months.
authors.affiliation: Department of Radiology, The Aga Khan University Hospital, Karachi, Pakistan.
authors.forename: T
authors.initials: T
authors.lastname: Ul Haq
authors.forename: K
authors.initials: K
authors.lastname: Munir
authors.forename: Z
authors.initials: Z
authors.lastname: Haider
authors.forename: J
authors.initials: J
authors.lastname: Yaqoob
authors.forename: U
authors.initials: U
authors.lastname: Usman
mesh_terms: D000328:Adult; D006502:Budd-Chiari Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000379:methods*; D015641:Radiography, Interventional; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional