| A case of Budd-Chiari syndrome in an alcoholic cirrhotic patient who presented with refractory ascites, and this was improved by IVC stenting |
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고려대학교 의과대학 내과학교실 |
| 증례 : 하공정맥의 스텐트 삽입술로 난치성 복수의 호전을 보인 알코올성 간경변증에 병발한 Budd-Chiari 증후군 1예 |
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이현종 |
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| Abstract |
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Budd-Chiari syndrome is a rare condition in which obstruction occurs in both the larger hepatic vein and the inferior vena cava (IVC). Percutaneous balloon angioplasty and stent placement have been used since last decade to treat an obstructed IVC at or above the hepatic level in patients suffering with primary Budd-Chiari syndrome.
We recently experienced a case of Budd-Chiari syndrome with IVC obstruction, and this patient presented with refractory ascites that improved after IVC stenting. The patient was a 43 year-old man and he had received the diagnosis of alcoholic cirrhosis 2 months previously. He complained of abdominal distension and a weight gain of 10 kg during 1 month. The hepatic venogram revealed long segmental narrowing of the intrahepatic IVC. His ascites, which was refractory to maximum doses of diuretics, and required large volume paracentesis 2 or 3 times per week, was controlled by percutaneous IVC stenting. We report here on this case along with a brief review of the literature.(Korean J Med 72:S136-S142, 2007)
Key Words : Budd-Chiari syndrome, Liver cirrhosis, Alcoholic, Ascites, Stents |
| Key Words:
Budd-Chiari syndrome, Liver cirrhosis, Alcoholic, Ascites, Stents |
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