Nippon Shokakibyo Gakkai Zasshi
Online ISSN : 1349-7693
Print ISSN : 0446-6586
Case report
Successful treatment of a patient with Budd-Chiari syndrome with main hepatic vein obstruction with percutaneous transluminal angioplasty and stent placement
Ryosuke INOKUCHIToshihito SEKIRinako KAWAMURATakashi OKAZAKIToshikazu INOUEKoichi MURAKAMIKou NAKAMARUKazuichi OKAZAKI
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2014 Volume 111 Issue 9 Pages 1811-1819

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Abstract

A woman in her 40s presented at our department with abdominal fullness. Abdominal computed tomography showed hepatomegaly and ascites, and gastrointestinal endoscopy showed esophageal varices. A diagnosis of Budd-Chiari syndrome (BCS) was confirmed by percutaneous hepatic venography, which detected obstruction of the main hepatic vein. It was treated using percutaneous transluminal angioplasty and metallic stent placement. Rupture of the esophageal varices occurred 5 months later because of the occlusion of the stent lumen; however, she was successfully retreated with further stent placement.

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© 2014 by The Japanese Society of Gastroenterology
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