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. 1972 May;13(5):372–378. doi: 10.1136/gut.13.5.372

Chronic Budd-Chiari syndrome due to obstruction of the intrahepatic portion of the inferior vena cava

D V Datta, S Saha, Samanta A K Singh, B B Gupta, B K Aikat, K S Chugh, P N Chhuttani
PMCID: PMC1412223  PMID: 5036093

Abstract

Clinical features of obstruction of the intrahepatic portion of the inferior vena cava were observed in five out of the 11 patients with the Budd-Chiari syndrome seen during the last four years. These patients apparently formed a distinct group from the remaining six and resembled in clinical course, biochemical features, haemodynamic findings, and radiological investigations the patients described as cases of membranous obliteration of the intrahepatic portion of the inferior vena cava. The present study reports five such patients diagnosed with the help of venous catheterization, percutaneous hepatography, and haemodynamic studies. The value of distinguishing these patients from those with obstruction due to hepatic vein occlusion is highlighted because of the difference in the prognosis and treatment.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ATKINSON M., SHERLOCK S. Intrasplenic pressure as index of portal venous pressure. Lancet. 1954 Jun 26;266(6826):1325–1327. doi: 10.1016/s0140-6736(54)92212-6. [DOI] [PubMed] [Google Scholar]
  2. BENNETT I. L., Jr A unique case of obstruction of the inferior vena cava. Bull Johns Hopkins Hosp. 1950 Oct;87(4):290–298. [PubMed] [Google Scholar]
  3. Clain D., Freston J., Kreel L., Sherlock S. Clinical diagnosis of the Budd-Chiari syndrome. A report of six cases. Am J Med. 1967 Oct;43(4):544–554. doi: 10.1016/0002-9343(67)90178-7. [DOI] [PubMed] [Google Scholar]
  4. Davis M., Peters R., Reynolds T. Budd-Chiari syndrome due to inferior vena cava obstruction. Gastroenterology. 1968 Jun;54(6):1142–1147. [PubMed] [Google Scholar]
  5. Hepner G. W., Steiner R. E., Bentall H. H. Hepatic venous occlusion associated with intrahepatic narrowing of the inferior vena cava. A case successfully treated by pericardial graft. Br J Surg. 1969 Apr;56(4):245–250. doi: 10.1002/bjs.1800560402. [DOI] [PubMed] [Google Scholar]
  6. KIBEL M. A., MARSDEN H. B. Inferior vena caval and hepatic vein thrombosis: the Chiari syndrome in childhood. Arch Dis Child. 1956 Jun;31(157):225–228. doi: 10.1136/adc.31.157.225. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. KIMURA C., SHIROTANI H., HIROOKA M., TERADA M., IWAHASHI K., MAETANI S. Membranous obliteration of the inferior vena cava in the hepatic portion. (Review of 6 cases with 3 autopsies). J Cardiovasc Surg (Torino) 1963 Apr;4:87–98. [PubMed] [Google Scholar]
  8. LAM C. R., GREEN E., GALE H. TRANSCARDIAC MEMBRANOTOMY FOR OBSTRUCTION OF THE HEPATIC PORTION OF THE INFERIOR VENA CAVA. Circulation. 1965 Apr;31:SUPPL 1–1:191. doi: 10.1161/01.cir.31.4s1.i-188. [DOI] [PubMed] [Google Scholar]
  9. Nakamura T., Nakamura S., Aikawa T., Suzuki O., Onodera A., Karoji N. Obstruction of the inferior vena cava in the hepatic portion and the hepatic veins. Report of eight cases and review of the Japanese literature. Angiology. 1968 Sep;19(8):479–498. doi: 10.1177/000331976801900805. [DOI] [PubMed] [Google Scholar]
  10. PARKER R. G. Occlusion of the hepatic veins in man. Medicine (Baltimore) 1959 Dec;38:369–402. doi: 10.1097/00005792-195912000-00002. [DOI] [PubMed] [Google Scholar]
  11. ROSSALL R. E., CALDWELL R. A. Obstruction of inferior vena cava by a persistent eustachian valve in a young adult. J Clin Pathol. 1957 Feb;10(1):40–45. doi: 10.1136/jcp.10.1.40. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Rogers M. A., Chesler E., Du Plessis L., Joffe N., Joubert E. Membranous obstruction of the hepatic segment of the inferior vena cava. Br J Surg. 1967 Mar;54(3):221–225. doi: 10.1002/bjs.1800540316. [DOI] [PubMed] [Google Scholar]
  13. Schaffner F., Gadboys H. L., Safran A. P., Baron M. G., Aufses A. H., Jr Budd-Chiari syndrome caused by a web in the inferior vena cava. Am J Med. 1967 May;42(5):838–843. doi: 10.1016/0002-9343(67)90100-3. [DOI] [PubMed] [Google Scholar]
  14. Smith L. A case of congenital stenosis of the inferior vena cava with portal hypertension. Br J Surg. 1965 Nov;52(11):913–916. doi: 10.1002/bjs.1800521116. [DOI] [PubMed] [Google Scholar]
  15. WATKINS E., Jr, FORTIN C. L. SURGICAL CORRECTION OF A CONGENITAL COARCTATION OF THE INFERIOR VENA CAVA. Ann Surg. 1964 Apr;159:536–541. doi: 10.1097/00000658-196404000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Yamamoto S., Yokoyama Y., Takeshige K., Iwatsuki S. Budd-Chiari syndrome with obstruction of the inferior vena cava. Gastroenterology. 1968 Jun;54(6):1070–1084. [PubMed] [Google Scholar]

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