Document Detail

Sonography of the caudate vein: value in diagnosing Budd-Chiari syndrome.
MedLine Citation:
PMID:  14627589     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The aim of this study was to evaluate the usefulness of sonography in measuring the caudate vein and lobe when diagnosing Budd-Chiari syndrome. MATERIALS AND METHODS: Our study included a group of 16 patients with Budd-Chiari syndrome. We compared this patient group with a control group of 40 patients with cirrhosis and 66 healthy subjects without liver disease. On sonography, we measured the diameter of the caudate lobe and the presence and diameter of the caudate vein. These measurements were then compared for both groups. RESULTS: In half of the patients with Budd-Chiari syndrome, sonography showed a visible caudate vein (3-21 mm; mean, 7.3 mm; median, 4.6 mm). However, in the control group, spontaneous visualization was seen in only eight (7.5%) of 106 subjects, none of whom had cirrhosis. The caudate lobe was larger in patients with cirrhosis than in healthy subjects. Likewise, in patients with Budd-Chiari syndrome, the caudate lobe was larger than that in patients with cirrhosis. CONCLUSION: When sonography reveals a caudate vein equal to or larger than 3 mm in diameter in the appropriate clinical setting, one should strongly suspect Budd-Chiari syndrome.
Xavier Bargalló; Rosa Gilabert; Carlos Nicolau; Juan Carlos García-Pagán; Jaume Bosch; Concepció Brú
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  181     ISSN:  0361-803X     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-11-20     Completed Date:  2004-01-20     Revised Date:  2008-02-15    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1641-5     Citation Subset:  AIM; IM    
Department of Radiology, Hospital Clinic, C/Villarroel, 170, Barcelona 08036, Spain.
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MeSH Terms
Aged, 80 and over
Budd-Chiari Syndrome / ultrasonography*
Diagnosis, Differential
Hepatic Veins / ultrasonography*
Liver / blood supply*,  ultrasonography*
Liver Cirrhosis / ultrasonography*
Middle Aged
Reproducibility of Results
Ultrasonography, Doppler

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