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A Case of Hepatocellular Carcinoma Arising from Budd-Chiari syndrome

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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.

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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

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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.

수치

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. 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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