Abstract:
Hepatic sinus obstruction syndrome (HSOS) is easy to be misdiagnosed or missed, and there is no unified and effective treatment for it. A patient was considered to have Budd-Chiari syndrome. He underwent a transjugular liver biopsy, and pathological examination revealed HSOS without liver cirrhosis. After the failure of anticoagulation therapy, he successfully received a transjugular intrahepatic portosystemic shunt (TIPS). After discharge, he was followed-up for four years with a good prognosis. G. segetum-induced HSOS can be easily overlooked, especially in patients with underlying liver diseases. When medical therapy fails, TIPS can control ascites and portal hypertension, and the long-term prognosis is optimistic.
摘要:
肝窦阻塞综合征(HSOS)易误诊或漏诊,没有统一有效的治疗方法。一名患者被认为患有布加综合征。他做了经颈静脉肝活检,病理检查示HSOS无肝硬化。抗凝治疗失败后,他成功接受了经颈静脉肝内门体分流术(TIPS).放电后,他接受了四年的随访,预后良好。G.segetum引起的HSOS很容易被忽视,尤其是有潜在肝脏疾病的患者。当药物治疗失败时,TIPS可以控制腹水和门脉高压,长期预后乐观。