Percutaneous hepatic venous stenting for menorrhagia in Budd-Chiari syndrome

摘要

A 27-year-old woman was referred to our hospital for abdominal distension and hepatosplenomegaly. She gave history of menorrhagia since menarche. On investigation, she was found to have anaemia and thrombo-cytopaenia with normal coagulation profile. CT scan revealed hepatosplenomegaly, moderate ascites, inho-mogeneously mottled liver (veno-venous collaterals) with hypoattenuated peripheral zone and enlarged caudate lobe. Hepatic veins could not be identified (Fig. la). Multiple varicosities were observed around the round ligament of uterus (Fig. lb). These features were diagnostic of Budd-Chiari Syndrome and patient was recommended for interventional radiology procedure to re-establish hepatic venous outflow.