Hepatic Venous Stenting in a case of Budd-Chiari Syndrome: A Case report

Abstract

Budd-Chiari syndrome (BCS) results from hepatic venous outflow obstruction at the level of the hepatic veins or inferior vena cava.There is increasing number of successful reports of BCS therapy have involved endovascular techniques, including angioplasty and stent placement. Case Presentation : 22 Years old female patient presented to IR OPD with complaints of chronic abdominal pain and distension and decreased energy. The patient had no history of jaundice, bruising, or acholic stools. ChildPugh Score was 6 point and Child Class A. On Ultrasonography and CT scan, diagnosis of Budd chiari syndrome due to narrowing of IVC in its hepatic portion with occlusion of hepatic veins ostia was kept.Endovascular management was done. Conclusion : BCS denotes a heterogeneous group of diseases characterized by hepatic venous outflow obstruction at the level of hepatic veins or inferior vena cava resulting in portal hypertension.CT and MR angiography provide noninvasive anatomical definition of the hepatic artery that may be important for operative or interventional planning.