Budd-Chiari syndrome is a rare disorder of hepatic vein or inferior vena caval occlusion, and present with hepatic enlargement, pain, tenderness, ascites, jaundice, and portal hypertension.
We treated the patient having recalcitrant ulcer with skin graft and HBO.
The patient is a 65-year-old woman diagnosed as having Budd-Chiari syndrome. She had ulcer on her distal right lower extremity at 1970 and underwent an operation of stripping.
From 1982 to 1986, she had ulcer every year, and had been treated with HBO only. But she had big ulcer on her right lower leg at 1987. It is difficult to heal the ulcer by HBO only, so we used skin graft and continued HBO therapy. She was discharged after 60 days with her ulcer completely healed.
At 1988, her big ulcer recurred. We treated with skin graft and HBO. she was completely healed and discharged after 40 days.
In conclusion, HBO is useful to treat recalcitrant ulcer.
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