Point-of-care ultrasound in the diagnosis and treatment of Budd-Chiari syndrome: A rare case report and literature review

被引:0
|
作者
Jiang, Lingzhi [1 ]
Wang, Ligang [2 ]
Wang, Mingshan [3 ]
Xu, Yuyun [4 ]
Shen, Ye [1 ]
Ye, Xiangming [1 ]
机构
[1] Hangzhou Med Coll, Zhejiang Prov Peoples Hosp, Affiliated Peoples Hosp, Rehabil & Sports Med Res Inst Zhejiang Prov,Ctr Re, Hangzhou, Zhejiang, Peoples R China
[2] Hangzhou Med Coll, Zhejiang Prov Peoples Hosp, Affiliated Peoples Hosp, Dept Ultrasound Med, Hangzhou, Zhejiang, Peoples R China
[3] Hangzhou Med Coll, Zhejiang Prov Peoples Hosp, Affiliated Peoples Hosp, Ctr Gen Practice Med,Dept Infect Dis, Hangzhou, Zhejiang, Peoples R China
[4] Hangzhou Med Coll, Zhejiang Prov Peoples Hosp, Affiliated Peoples Hosp, Ctr Rehabil Med,Dept Radiol, Hangzhou, Zhejiang, Peoples R China
关键词
Budd-Chiari syndrome; Secondary BCS; Early diagnosis; Point-of-care ultrasound; INTERVENTIONAL TREATMENT; CLINICAL-FEATURES; CHINESE PATIENTS; EMBOLIZATION; ETIOLOGY; ULTRASONOGRAPHY; OUTCOMES;
D O I
10.1016/j.heliyon.2024.e36192
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Budd-Chiari syndrome (BCS) is a life-threatening disease characterized by the partial or complete obstruction of hepatic venous outflow anywhere from the liver to the heart. In China, secondary BCS is rare. We present a case of secondary BCS caused by compression of the suprahepatic inferior vena cava (IVC), mainly due to local bile accumulation in the caudate lobe of the liver. This case highlights the scarcity of secondary BCS worldwide and the importance of point-of-care ultrasound (POCUS) in the diagnosis and treatment, especially in critical and comatose patients. Prompt diagnosis and recanalization with POCUS-guided puncture and drainage help improve patient prognosis.
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页数:7
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