Remnant torsion causing Budd-Chiari syndrome after right hepatectomy.
BACKGROUND
Torsion or rotation of the remnant left liver after right hepatectomy is a potential cause of venous outflow obstruction. This can occur by external compression on the inferior vena cava or kinking of the left hepatic vein.


CONCLUSIONS
We report a case of a young female who underwent right hepatectomy for stage IV colorectal metastases and suffered remnant left liver torsion causing acute Budd-Chiari syndrome. She was managed by placement of a metal stent across the area of stenosis which resolved her ascites and hyperbilirubinemia.
Wang
Jeffrey K
JK
Division of Gastroenterologic and General Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Truty
Mark J
MJ
Donohue
John H
JH
D006502:Budd-Chiari Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D015179:Colorectal Neoplasms / Q000473:pathology / Q000628:therapy; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000009:adverse effects* / Q000379:methods; D006503:Hepatic Veins / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D008875:Middle Aged; D018365:Neoplasm, Residual / Q000150:complications*; D010690:Phlebography / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D018570:Risk Assessment; D015607:Stents; D054159:Torsion, Mechanical; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000473:pathology*