Hepatocellular carcinoma with Budd-Chiari syndrome due to membranous obstruction of the inferior vena cava with long-term follow-up: a case report

Membranous obstruction of the inferior vena cava (MOVC) is a rare subset of Budd-Chiari syndrome (BCS) with a subacute onset that is often complicated by cirrhosis and hepatocellular carcinoma (HCC). Here we report a case of recurrent HCC in a patient with cirrhosis and BCS that was treated with sev...

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Detalles Bibliográficos
Autores principales: Kim, Choong Hee, Choi, Gwang Hyeon, Na, Hee Young, Yoon, Chang Jin, Cho, Jai Young, Jang, Sangmi, Kim, Ji Hye, Jang, Eun Sun, Kim, Jin-Wook, Jeong, Sook-Hyang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Liver Cancer Association 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10035742/
https://www.ncbi.nlm.nih.gov/pubmed/37383405
http://dx.doi.org/10.17998/jlc.2022.08.24
Descripción
Sumario:Membranous obstruction of the inferior vena cava (MOVC) is a rare subset of Budd-Chiari syndrome (BCS) with a subacute onset that is often complicated by cirrhosis and hepatocellular carcinoma (HCC). Here we report a case of recurrent HCC in a patient with cirrhosis and BCS that was treated with several episodes of transarterial chemoembolization followed by surgical tumorectomy, whereas the MOVC was successfully treated with balloon angioplasty followed by endovascular stenting. The patient was followed up for 9.9 years without anticoagulation and experienced no stent thrombosis. After the tumorectomy, the patient was HCC-free for 4.4 years of follow-up.

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