Stent angioplasty of narrowed portocaval shunt in Budd Chiari syndrome: a case report.
BACKGROUND
Hepatic vein thrombosis (Budd-Chiari Syndrome) is a rare disorder resulting from an obstruction to the outflow of blood from the liver. Early decompression is needed to prevent liver dysfunction and death. Radiological intervention includes angioplasty of stenosis and webs and the placement of transjugular intrahepatic portosystemic shunts (TIPPS). Side-to-side portacaval shunt (SSPCS) remains the gold standard for achieving good long-term results.


METHODS
A 37-year old lady underwent side-to-side portacaval shunt for Budd Chiari syndrome. She had early shunt blockage and this was successfully treated with the placement of a metallic stent across the shunt.


CONCLUSIONS
At five years, she remains asymptomatic, with normal liver functions, no ascites, and normal flow through the stent on Colour Doppler examination.
Doctor
Nilesh
N
Department of Gastrointestinal Surgery, Jaslok Hospital & Research Centre, Mumbai, India. drnileshbela@gmail.com.
Gandhi
Vidhyachandra
V
Shah
Sharad
S
Hussain
Maharra
M
Marar
Shaji
S
Philip
Sujith
S