Budd-Chiari like syndrome in decompensated alcoholic steatohepatitis and liver cirrhosis

Abstract

A rare case of pseudo-Budd-Chiari Syndrome in a patient with decompensated alcoholic liver disease is reported. Although clinical and radiological findings suggested Budd-Chiari Syndrome, the liver biopsy revealed micronodular cirrhosis and absence of histological signs of hepatic outflow obstruction.

Liver stiffness: a novel parameter for the diagnosis of liver disease

“…This might explain why additional assessment of spleen stiffness could be better to predict portal hypertension and varices 74. In addition, cirrhosis develops in post or sinusoidal thrombosis,75,76 but not in presinosoidal idiopathic portal hypertension (IPH) 77. Hence, no increased LS can be detected in patients with IPH and this explains why in some patients a normal LS does not exclude portal hypertension and the presence of varices.…”

Review article: the aetiology of primary Budd-Chiari syndrome - differences between the West and China

“…Budd–Chiari syndrome (BCS), which refers to the obstruction of the hepatic venous outflow from the small hepatic veins, main hepatic veins and suprahepatic inferior vena cava to the confluence of inferior vena cava and right atrium, is a major vascular disorder of the liver . Notably, hepatic sinusoidal obstruction syndrome (also called as veno‐occlusive disease) is excluded from the definition of BCS, and pseudo‐BCS should be carefully distinguished . In addition, the hepatic venous outflow obstruction due to vein injury after surgery (i.e.…”

“…[1][2][3] Notably, hepatic sinusoidal obstruction syndrome (also called as veno-occlusive disease) is excluded from the definition of BCS, 4 and pseudo-BCS should be carefully distinguished. [5][6][7] In addition, the hepatic venous outflow obstruction due to vein injury after surgery (i.e. liver transplantation, 8 liver resection [9][10][11] or cardiac surgery 12 ), extrinsic compression (i.e.…”

Síndrome de Budd-Chiari secundario asociado a hepatitis alcohólica grave: reporte de caso

“…Resultados similares fueron encontrados por Robles-Medranda y colaboradores, quienes en el estudio que realizaron en 2006, basado en el síndrome de Pseudo-Budd-Chiari asociado a esteatohepatitis alcohólica y cirrosis hepática, concluyeron que las imágenes en las que se encontraba una disminución del flujo a nivel de las venas suprahepáticas, probablemente relacionada con el síndrome de Budd-Chiari, eran producidas por una compresión extrínseca de su luz asociada al parénquima hepático aumentado de volumen como consecuencia de un patrón inflamatorio vasto debido a la esteatohepatitis alcohólica y no por la presencia de trombos intraluminales; por esta razón, no se consideró la anticoagulación dentro de la terapia prescrita (10) .…”