Abstract :
Key Words :
A Case of Hepatocellular Carcinoma Arising from Budd-Chiari syndrome
Yoon Seok Hong, M.D., Jung Min Lee, M.D., Hyun Ung Lee, M.D., Sang Won Lee, M.D., Jun Young Hwang, M.D., Kyung Sik Park, M.D., Kwang Bum Cho, M.D., Jae Seok Hwang, M.D., Sung Hoon Ahn, M.D.
Department of Internal Medicine,
Keimyung University School of Medicine, Daegu, Korea
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Fig. 2. IVC venogram findings. There is noted complete obstruction by membranous sturucture at IVC adjacent to rjght atrium (A) and balloon angioplasty was done (B).
Fig. 1. Abdominal CT findings. The axial image of abdominal CT shows a 6 cm sized mass enhanced on arterial phase (A) and wash out on delayed phase (B) in lateral segment of the liver.
Fig. 3. CT findings after 1 year. The axial images of the chest and abdominal CT show pulmonary (A) and right adrenal metastasis (B).
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1. Feldman M, Friedman LS, Sleisenger MH.
Sleisenger & Fordtran s Gastrointestinal and Liver Disease. 7th ed. Philadelphia: Saunders; 2002.
2. Simson IW. Membranous obstruction of the inferior vena cava and hepatocellular carcinoma in South Africa. Gastroenterology 1982;82(2):171-8.
3. Kew MC, McKnight A, Hodgkinson J, Bukofzer S, Esser JD. The role of membranous obstruction of the inferior vena cava in the etiology of hepatocellular carcinoma in southern African blacks. Hepatology 1989;9(1):121-5.
4. Van der Merwe CF. Arts MSc. Primary liver cancer in the Transvaar. Hepato-gastroenterology 1981;
28(5):233-5.
5. Okuda H, Yamagata H, Obata H, Iwata H, Sasaki R, Imai F, et al. Epidemiological and clinical features of Budd-Chiari syndrome in Japan. J Hepatol 1995;22(1):1-9.
6. Jung HC, Kim CY. Importance of membranous obstruction as a cause of inferior vena caval obstruction in Korea. Korean J Gasteroenterol 1988;20(1):149-56.
7. Kim HJ, Hwang YS, Kim BH, Chang YW, Lee JI, Chang R. A case of membranous obstruction of the Fig. 4. Abdomen CT findings after delivery. There are
noted a large ruptured hepatoma, large hemoperitoneum and progression of the hepatoma
vena cava at its hepatic portion. Hepatology 1998;28(5):1191-8.
11. Kage M, Arakawa M, Kojiro M, Okuda K.
Histopathology of membranous obstruction of the inferior vena cava in the Budd-Chiari syndrome.
Gastroenterology 1992;102(6)2081-90.
12. Shrestha S, Okuda K, Uchida T, Maharjan KG, Joshi BL, Larsson S, et al. Endemicity and clinical pictures of liver disease due to obstruction of the
15. Lau WY, Leung WT, Ho S, Lam SK, Li CY, Johnson PJ, et al. Hepatocellular carcinoma during pregnancy and its comparison with other pregnancy-associated malignancies. Cancer 1995;75(11):2669-76.
16. Hsu KL, Ko SF, Cheng YF, Huang CC. Spontaneous rupture of hepatocellu1ar carcinoma during pregnancy. Obstet Gyrecol 2001;98(5):913-6.