| Huge caudate lobe of the liver due to Budd-Chiari syndrome. | |
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MedLine Citation:
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PMID: 21206147 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Budd-Chiari syndrome is characterized by hepatic venous outflow obstruction. We describe a patient with a huge caudate lobe of the liver due to Budd-Chiari syndrome. A 49-year-old woman was referred to Nippon Medical School Hospital to receive treatment for enlarged gastric varices. She had been followed up for idiopathic portal hypertension with deformity of the liver for 7 years and had undergone surgery for pharyngeal carcinoma 5 years earlier. Upper gastrointestinal endoscopy revealed solitary gastric varices without esophageal varices. Abdominal computed tomography revealed obstructions and scars of the right, middle, and left hepatic veins. The caudate lobe was enlarged, and the portal vein was displaced ventrally, without thrombus. The drainage vein of the caudate lobe, the short hepatic vein on the left side of the inferior vena cava, was dilated. The portal vein and drainage vein of segment 6 were visualized and showed no atrophy. Venography revealed no obstruction of the inferior vena cava. Budd-Chiari syndrome with solitary gastric varices was diagnosed on the basis of these findings. We performed balloon-occluded retrograde transvenous obliteration and partial splenic embolization to treat the gastric varices. The posttreatment course was uneventful, and the patient was discharged 8 days after embolization. The gastric varices shrank. |
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Authors:
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Yuta Kikuchi; Hiroshi Yoshida; Yasuhiro Mamada; Nobuhiko Taniai; Sho Mineta; Masato Yoshioka; Atsushi Hirakata; Yoichi Kawano; Junji Ueda; Eiji Uchida |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of Nihon Medical School = Nihon Ika Daigaku zasshi Volume: 77 ISSN: 1345-4676 ISO Abbreviation: J Nihon Med Sch Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2011-01-05 Completed Date: 2011-01-25 Revised Date: 2011-08-01 |
Medline Journal Info:
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Nlm Unique ID: 100935589 Medline TA: J Nihon Med Sch Country: Japan |
Other Details:
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Languages: eng Pagination: 328-32 Citation Subset: IM |
Affiliation:
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Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Budd-Chiari Syndrome
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complications,
pathology*,
therapy Female Humans Liver / pathology* Middle Aged |
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