Abstract
Budd Chiari Syndrome encompasses several aetiological factors. Coarctation of inferior vena cava is characterised by an hour glass constriction of the cava with or without occlusion of the terminal hepatic veins. The latter may be occluded with minimal or no changes in the interior vena cava. This entity has been reported worldwide, but commonly from Africa, China, India and Japan. Characteristic findings on ultrasonography, and functional hepatography are illustrated. Surgical procedures for caval decompression (including operative features in authors’ series of 24 patients), portal decompression, hepatic venous decompression, and relief of ascites are outlined. Arguments for or against congenital hypothesis, primary thrombotic theory, or primary inflammatory cause are listed. The possibility of filarial aetiology is discussed.
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