Abstract:The Budd-Chiari Syndrome is associated with hepatic venous outflow obstruction. This syndrome is rare in infants and children. As this syndrome is uncommon, especially in the paediatric age group, misdiagnoses and delays in the diagnosis are frequent. A high index of clinical suspicion along with a radiological aid and a histopathological correlation can lead to an early diagnosis and an appropriate management in such cases.This case report highlights the occurrence of this rare condition in the paediatric age… Show more
“…It is suspected that the cause of Budd–Chiari syndrome in this patient's case is membranous obstruction, which is consistent with the profile of patients with Budd–Chiari syndrome in Asian populations [ 9 , 10 ]. Similar to the study by Misra et al [ 11 ], the etiology of membranous obstruction remains idiopathic. On the basis of the liver biopsy results of this case, the fibrosis in the portal area and confluent necrosis caused by vascular disorders were evident, supporting the suspicious of the presence of thrombosis.…”
“…It is suspected that the cause of Budd–Chiari syndrome in this patient's case is membranous obstruction, which is consistent with the profile of patients with Budd–Chiari syndrome in Asian populations [ 9 , 10 ]. Similar to the study by Misra et al [ 11 ], the etiology of membranous obstruction remains idiopathic. On the basis of the liver biopsy results of this case, the fibrosis in the portal area and confluent necrosis caused by vascular disorders were evident, supporting the suspicious of the presence of thrombosis.…”
“…Since many teratomas are resistant to chemotherapy it is not surprising that it was still present in the donor (Foster et al, 1996). We could find scarce examples of a teratoma being associated with bladder cancer, and what was found only mentioned malignant teratomas (Misra et al, 1997). The presence of a retroperitoneal benign cystic teratoma in an individual with metastatic bladder cancer may represent a unique finding not previously mentioned in the literature.…”
This case report is of a benign retroperitoneal teratoma which was adherent to the psoas muscle of a 53-year-old female cadaver with a history of metastatic bladder cancer as a cause of death. Teratomas possess derivatives of all three germ cell layers and are usually seen either in children or in the lower pelvic region of adults. The finding of this mass deep to the inferior pole of the kidney is quite unusual. Few studies mention a possible association between metastatic cancer and teratoma growth in extrapelvic locations. The following report is a detailed account of this unusual finding and a summary of the literature on growths of this kind.
“…The probable associated etiologies include prothrombotic states, oncological, infectious, autoimmune or intrinsic coagulation defects. BCS can be observed at any age, but is uncommon in children and only 5% were found to be below 12 years of age [7]. The diagnosis is established by demonstrating obstruction of the venous outflow and structural changes of the liver, portal or venous system.…”
Background: Budd-Chiari syndrome is a rare entity in childhood. Antiphospholipid syndrome is an autoimmune disease characterized by the presence of thrombosis or obstetrical complications. The presentation of both diseases is rare. Currently there are few reports in the literature of this association. Case Report: A 15-year-old male patient presented with generalized pallor, Raynaud phenomenon and pain abdomen. Imaging studies reveal portal vein and splenic vein thrombosis corroborating with angiography. Based on the thrombosis presentation, Raynaud phenomenon, aTTP prolongation, thrombocytopenia and complement consumption, diagnosis of antiphospholipid syndrome was made. He continued treatment with anticoagulation, in addition to steroid and azathioprine, presenting adequate clinical evolution. Conclusion: The seronegative antiphospholipid syndrome represents a diagnostic challenge. It´s essential to maintain a suspected diagnosis of antiphospholipid syndrome as a cause of Budd-Chiari syndrome, even in it´s seronegative presentation.
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