Hepatic‐pericardio‐phrenic collateral (natural shunt) in a patient with Budd‐Chiari syndrome

Abstract

Hepatic venous outflow tract obstruction, Budd-Chiari syndrome (BCS), leads to portal hypertension and to the development of collaterals that bypass the obstruction. Described here is a BCS patient with an unusually large transdiaphragmatic collateral between the left hepatic and left innominate veins, which decompressed the oesophageal varices. This has not been reported earlier in the literature.

Case of Budd–Chiari syndrome 3 months after vaginal delivery

“…Although various definitions or diagnostic criteria have been proposed for the clinical symptoms of Budd–Chiari syndrome, 5–7 agreement on a uniform nomenclature is yet to be established because of the wide variety of clinical manifestations, from a fulminant form to a chronic form, mainly depending on both the extent of the obstructive process and how quickly it develops. Therefore, to start optimal treatment without delay, it is important to diagnose obstruction of the hepatic vein or inferior vena cava, in any form, early and appropriately.…”