Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Doppler Waveform Pattern Changes in a Patient with Primary Budd-Chiari Syndrome before and after Angioplasty
Kana HirookaMasashi HirookaYoshiyasu KisakaTakahide UeharaYoichi HiasaKojiro MichitakaMorikazu Onji
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JOURNAL OPEN ACCESS

2008 Volume 47 Issue 2 Pages 91-95

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Abstract

A 34-year-old woman was admitted for treatment of esophageal varices. Seven years earlier, she had been diagnosed with Budd-Chiari syndrome, and percutaneous transluminal angioplasty (PTA) for right hepatic vein (RHV) stenosis was done. On admission, Doppler sonography showed a flat waveform in the RHV. RHV re-stenosis was confirmed on X-ray sonography. After PTA, the stenosis improved. Heterogeneous liver enhancement on enhanced computed tomography became homogeneous, her esophageal varices became inconspicuous, and the flat Doppler waveform pattern changed to a triphasic pattern. Doppler sonography was very useful for evaluating the effect of angioplasty and to diagnose re-stenosis.

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© 2008 by The Japanese Society of Internal Medicine
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