Budd-Chiari syndrome diagnosis

Hepatic venous thrombosis, also known as Budd-Chiari syndrome, is caused by hypercoagulable disorders precipitated by pregnancy, infection, and birth control medication. An acute painful abdomen, sudden enlargement of the liver, and the presence of ascites make up a triad of clinical symptoms that are important in the diagnosis of this syndrome. Myeloproliferative disorders such as polycythemia vera and paroxysmal nocturnal dyspnea were previously thought to be responsible. Factor V Leiden and prothrombin 20210 mutations are also known to be responsible, Other intraabdominal thromboses include portal vein thrombosis, mesenteric vein thrombosis and renal vein thrombosis. 

Mitchell MC, Boitnott JK, Kaufman S (1982) Budd-Chiari syndrome Etiology, diagnosis and management. Medicine 61 199-218. 

Bolondi, L., Gaiani, S., Li Bassi, S., Zironi, G., Bonino, F., Brunette, M., Barabara, L. Diagnosis of Budd-Chiari syndrome by pulsed Doppler ultrasound. Gastroenterology 1991 100 1324—1331... 

Sakugawa, H., TUgashionna, A., Oyakawa, T., Kadena, K., Kinjo, F., Saito, A. Ultrasound study in the diagnosis of primary Budd-Chiari syndrome (obstruction of the inferior cava) (Japan ). Gastroenterol. Japon. 1992 27 69-77... 

Unclear structures can be punctured with a fine needle initially as an exploratory procedure (consistency cyst blood vessel ) before the Menghini needle is used. Reports have been written, for example, on the laparoscopic diagnosis of Budd-Chiari syndrome (190), liver abscesses (232), peliosis hepatis (236,305), FNH (204, 236), Osier s disease (306), and unclarified cholestasis. (280, 299)... 

Budd-Chiari syndrome may be imaged in CT as hypodense zones the findings are not, however, reliable. (27) A definitive diagnosis can be obtained by angiography or MRI. 

Powell-Jackson, PB., Karanl, J., Ede, R., Mire, H., Williams, R. Ultrasonic scanning and 99m Tc sulphur colloid scintigraphy in diagnosis of Budd-Chiari syndrome. Gut 1986 27 1502-1506... 

Occlusion of the small hepatic veins is called veno-occlu-sive disease (VOD) (G. Bras et al., 1954 K.L. Stuart et al., 1957). It is identical to the radicular type of the Budd-Chiari syndrome, (s. p. 249) Cytostatics and azathioprine are among the alleged causal agents. (I2l, 130) Diagnosis is based on imaging techniques (ultrasound, CEDS, CT), and sometimes on liver biopsy, (s. fig. 29.10) (see chapter 39)... 

M., Barbara, L. Diagnosis of Budd-Chiari syndrome by pulsed Doppler ultrasound. Gastroenterology 1991 100 1324-1331... 

Kane, R., Eustace, St. Diagnosis of Budd-Chiari syndrome comparison between sonography and MR angiography. Radiology 1995 195 117-121... 

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