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Budd-Chiari Syndrome: Analysis of 30 Cases

Department of Gastroenterology, Hacettepe University School of Medicine

Ferhun Balkanci

Department of Radiology, Hacettepe University School of Medicine

Emin Kansu

Department of Hematology, Hacettepe University School of Medicine, Ankara, Turkey

Burhan Kayhan

Department of Gastroenterology, Hacettepe University School of Medicine

Serap Arslan

Department of Gastroenterology, Hacettepe University School of Medicine

Muzaffer Eryilmaz

Department of Radiology, Hacettepe University School of Medicine

Hasan Telatar

Department of Gastroenterology, Hacettepe University School of Medicine

The authors report their experience with 30 adult patients with Budd-Chiari syndrome (BCS), which is a rare and serious disorder, characterized by hepatic outflow obstruction caused by many different conditions.

The diagnosis was based on the clinical data, ultrasonography (US), vena cavography and hepatic venography, computed tomography (CT), and liver bi opsy. Behçet's disease (BD) was found in 10 patients with BCS as an underlying disease. Two patients used oral contraceptive drugs, 2 had liver tumor hepato cellular carcinoma and liver lymphoma, and 1 patient had chronic lymphocytic leukemia. Despite full investigation, the authors could not find any obvious un derlying cause in the other 15 patients.

The results suggest that (1) BCS must be considered as a possible complica tion in patients with Behçet's disease when they have hepatomegaly even if there were no cardinal manifestations of the disease at the time of admission, and BD is the most common etiologic factor in BCS (33%) in Turkey, where the inci dence of Behçet's disease is relatively high. (2) Anti-aggregant treatment seems to be effective in many instances. (3) There were space-occupying lesion-like appearances in the liver of 7 cases by CT and US examination in the acute stage, and these disappeared on the follow-up CT and US in 5 patients but continued in 2. BCS should thus be differentiated from other liver lesions. (4) There were other great-vessel involvements in 43% of the cases, mostly venous, but only 1 pulmonary arterial occlusion.

Angiology, Vol. 44, No. 7, 541-551 (1993)
DOI: 10.1177/000331979304400706


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