PDF(Pubmed)
Abstract：
Budd-Chiari syndrome is an uncommon disorder characterized by occlusion of hepatic veins. It can lead to portal hypertension. Most common causes of this syndrome are hypercoagulability states. Transjugular intrahepatic portosystemic shunt is often not possible given the portal venous thrombosis. In these cases, direct intrahepatic portocaval shunt, involving the creation of an access between the portal vein and the systemic circulation via the intrahepatic inferior vena cava has proven to be a feasible alternative, and can improve portal hypertension in these patients. Herein, we present a case of a 37-year-old woman diagnosed with Budd-Chiari syndrome that was successfully treated with percutaneous ultrasound (US)-guided direct intrahepatic portocaval shunt.
摘要：
Budd-Chiari综合征是一种罕见的疾病，其特征是肝静脉阻塞。它可以导致门静脉高压。该综合征的最常见原因是高凝状态。考虑到门静脉血栓形成，经颈静脉肝内门体分流术通常是不可能的。在这些情况下,直接肝内门腔分流术,涉及通过肝内下腔静脉在门静脉和体循环之间建立通路已被证明是一种可行的替代方法，并能改善这些患者的门静脉高压。在这里，我们介绍一例37岁女性患者,诊断为Budd-Chiari综合征,该患者采用经皮超声(US)引导直接肝内门腔分流术成功治疗.
