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Thrombosis of the Inferior Vena Cava and Hepatic Veins (Budd-Chiari Syndrome)
- MILTON R. HALES, M.D.; and
- JAMES H. SCATLIFF, M.D.
- Requests for reprints should be addressed to Milton R. Hales, M.D., Department of Pathology, Yale University School of Medicine, 310 Cedar St., New Haven, Conn. 06510.
Excerpt
Well-documented cases of hepatic vein occlusion of prolonged duration are extremely rare. In his thorough review of the Budd-Chiari syndrome, Parker (1) could evaluate the chronicity of 133 reported cases of the disease, and of these only 19 had signs or symptoms of hepatic vein occlusion for over 2 years before death and only 10 for over 3 years. The patient in the case reported here survived for 13 years or more after clinical signs suggesting inferior vena caval obstruction and for more than 4 years after evidence of essentially total hepatic venous obstruction. The case is thought to represent
This 100-word excerpt has been provided in the absence of an abstract.
Summario in Interlingua
Es reportate un caso de syndrome de Budd-Chiari in que le patiente viveva 13 annos o plus post le complete obstruction del vena cave inferior e plus que 4 annos post le complete obstruction del venas hepatic secundo evidentia clinic e retrospective. Trauma abdominal, suffrite septe annos ante le apparition del signos de obstruction caval, esseva—in nostre pensar—de signification etiologic.
Studios angiographic succedeva a demonstrar le complete extension del occlusion in le venas cave e hepatic 4 annos e medie ante le morte del patiente.
Al necropsia, un studio del corrosion vascular in le francamente cirrhotic e arterialisate hepate demonstrava le distinctive configuration de venas collateral intrahepatic que pote disveloppar se in le curso de un occlusion gradual del venas hepatic. Le hyperplasia compensatori del lobo caudate, que es commun in iste morbo, es interpretate como un consequentia del normal e favorabile provision e drainage vascular de iste parte del hepate.
Article and Author Information
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From the Departments of Pathology and Radiology, Yale University School of Medicine, New Haven, Conn.
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The special pathological studies were supported by grant HE-02639, the National Heart Institute, the National Institutes of Health, Bethesda, Md.
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- Received April 6, 1966.
- Accepted June 1, 1966.
