Successful treatment of Budd-Chiari Syndrome with Percutaneous transluminal Balloon Angioplasty
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Abstract
Introduction: Budd-Chiari syndrome (BCS) is a relatively rare disease in which an obstruction of hepatic venous outflow causes intrahepatic venous congestion and portal hypertension. Surgical treatment is associated with high morbidity and mortality. Recently, percutaneous transluminal angioplasty (PTA) has been applied to patients with BCS and it has shown a favorable outcome.
Case Report: Here we report a case of 50 year old male patient presented with history of insidious onset of abdominal distension and swelling of lower limbs since last six months and yellowish discoloration of eyes since two weeks. He was diagnosed as a case of BCS.
Treatment: Patient underwent successful percutaneous transluminal balloon angioplasty (PTBA). His symptoms significantly improved with patency of IVC at 6 months of follow-up.
Conclusion: PTA is an effective treatment for BCS caused by short-length obstruction of the hepatic portion of the IVC or hepatic veins. However, considering the occurrence of restenosis, regular clinical and ultrasound assessments are necessary after angioplasty.
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