Details

Autor(en) / Beteiligte

• Janssen, Harry L A
• Tan, Adriaan C I T L
• Tilanus, Hugo W
• Metselaar, Herold J
• Zondervan, Pieter E
• Schalm, Solko W

Titel

Pseudo-Budd-Chiari Syndrome: decompensated alcoholic liver disease mimicking hepatic venous outflow obstruction

Ist Teil von

• Hepato-gastroenterology, 2002-05, Vol.49 (45), p.810

Ort / Verlag

Greece

Erscheinungsjahr

2002

Quelle

MEDLINE

Beschreibungen/Notizen

• Three patients with rapid onset decompensated liver disease who were referred to our hospital with presumed Budd-Chiari syndrome are described. This diagnosis was based on marked hepatomegaly, caudate lobe hypertrophy and failure to visualize hepatic veins by Doppler-ultrasound examination. Detailed history, biochemistry, and histology were, however, highly suggestive of alcoholic liver cirrhosis with steatohepatitis-induced hepatomegaly. On angiographic examination narrowed but patent hepatic veins were demonstrated in 2 patients. A third patient died before further work-up could be performed; autopsy showed patent hepatic veins. These cases show that the radiological diagnosis of Budd-Chiari syndrome due to hepatic vein obstruction can be false positive and that suspected hepatic vein occlusion on Doppler-ultrasound should be confirmed by angiographic studies and on liver histology.