Case Report
Stent angioplasty of narrowed portocaval shunt in Budd Chiari syndrome: a case report
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* Corresponding author: Nilesh Doctor drnileshbela@gmail.com
1 Department of Gastrointestinal Surgery, Jaslok Hospital & Research Centre, Mumbai, India
2 Department of Gastroenterology, Jaslok Hospital & Research Centre, Mumbai, India
3 Department of Interventional Radiology, Jaslok Hospital & Research Centre, Mumbai, India
Cases Journal 2009, 2:1 doi:10.1186/1757-1626-2-1
Published: 1 January 2009Abstract
Background
Hepatic vein thrombosis (Budd-Chiari Syndrome) is a rare disorder resulting from an obstruction to the outflow of blood from the liver. Early decompression is needed to prevent liver dysfunction and death. Radiological intervention includes angioplasty of stenosis and webs and the placement of transjugular intrahepatic portosystemic shunts (TIPPS). Side-to-side portacaval shunt (SSPCS) remains the gold standard for achieving good long-term results.
Case presentation
A 37-year old lady underwent side-to-side portacaval shunt for Budd Chiari syndrome. She had early shunt blockage and this was successfully treated with the placement of a metallic stent across the shunt.
Conclusion
At five years, she remains asymptomatic, with normal liver functions, no ascites, and normal flow through the stent on Colour Doppler examination.