%0 Case Reports
%T A rare case of Gynura-segetum-related hepatic sinus obstruction syndrome complicated with alcoholic liver disease.
%A Gao Y
%A Zhang X
%A Zhou X
%A Wang J
%A Gong L
%A Chen G
%J J Pak Med Assoc
%V 74
%N 7
%D 2024 Jul
%M 39028070
%F 1.002
%R 10.47391/JPMA.9296
%X 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.