Budd-Chiari syndrome as an initial presentation of hepatocellular carcinoma: a case report

被引：29
|
作者：
Balaceanu, Lavinia Alice [1 ]
Diaconu, Camelia Cristina [2 ]
Aron, Gheorghita [1 ]
机构：
[1] Sf Ioan Clin Emergency Hosp, Dept Internal Med, Bucharest 42122, Romania
[2] Carol Davila Univ Med & Pharm, Dept Internal Med, Clin Emergency Hosp Bucharest, Bucharest, Romania
来源：
MEDICAL ULTRASONOGRAPHY | 2014年 / 16卷 / 02期
关键词：
hepatocellular carcinoma; Budd-Chiari syndrome; ultrasonography;
D O I：
10.11152/mu.201.3.2066.162.lab1
中图分类号：
O42 [声学];
学科分类号：
070206 ; 082403 ;
摘要：
We report the case of a 84-year-old admitted with symptoms of congestive heart failure. Ultrasonography revealed a hyperechoic nodule in the left lobe of the liver, with a peripheral hypoechoic rim, multiple irregular hypoechoic nodules in both hepatic lobes, portal vein, inferior vena cava, and right atrium thrombosis. On ultrasonographic and alpha-fetoprotein criteria the case was interpreted as hepatocellular carcinoma with Budd-Chiari syndrome. The particularity of the case is the initial presentation of the hepatocellular carcinoma as Budd-Chiari syndrome. The inferior vena cava and right atrium thrombosis, as a cause of secondary Budd-Chiari syndrome in a patient with hepatocellular carcinoma, has been rarely reported.
引用
收藏
页码：172 / 174
页数：3
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