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횡격막 탈장과 연관된 Budd-Chiari 증후군 1예

Budd-Chiari syndrome associated with diaphragmatic hernia: A case report

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초록

저자 등은 우상복부 동통, 간비대를 주소로 내원한 21세의 남자 환자가 횡격막 탈장과 이로 인한 Budd- Chiari 증후군으로 진단되었고, 수술적 치료로 회복된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Abstract

Budd-Chiari syndrome (BCS) is a rare disease caused by the obstruction of the hepatic venous outflow or the inferior vena cava above the hepatic vein. It has been attributed to various etiologic factors. Including intrinsic vascular thrombosis, hepatic tumor invasion/compression, or associated with an idiopathic obstructing membrane. However, in most cases no definitive etiologic factors have been identified. Recently, we experienced a case of 21-year-old man who had Budd-Chiari syndrome associated with diaphragmatic hernia. Venous flow returned to normal on reintroduction of the liver into the abdominal cavity and closure of the defect in the diaphragm. To our knowledge, this is the rare report in our country. Here, we report this case with review of literatures.

참고문헌 (12)

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  9. "Budd-Chiari syndrome:diagnosis with three-dimensional contrast-enhanced magnetic resonance angiography", 9, pp.2317~2321 (2003)
  10. "Blunt traumatic rupture of the right hemidiaphragm and Budd-Chiari syndrome", 58, pp.559~561 (1994)
  11. "Bilateral diaphragmatic hernia from blunt injury causing a Budd-Chiari syndrome:use of liver and spleen scan in demonstrating the defects", 173, pp.321~324 (1971)
  12. "Budd-Chiari syndrome resulting from intrahepatic IVC compression secondary to blunt hepatic trauma", 52, pp.384~387 (1997)

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