Objective To improve the understanding,diagnosis and treatment of Budd-Chiari syndrome complicated with hepatocellular carcinoma rupture and hemorrhage through case reports and related literature analysis.Methods The clinical characteristics,diagnosis and treatment process,and prognosis of a patient with abdominal pain as the main manifestation admitted to our hospital in January 2022 were retrospectively analyzed and summarized.Results The patient was admitted to the hospital due to epigastric pain.Abdominal CT showed ruptur and hemorrhage of hepatocellular carcinoma and cirrhosis.Hepatitis B and C viral markers,antinuclear antibody,autoimmune liver disease group and ceruloplasmin were negative.Further abdominal enhanced MRI was performed.The patient was considered to have Budd-Chiari syndrome as the primary disease.The diagnosis of Budd-Chiari syndrome complicated with hepatocellular carcinoma rupture and hemorrhage was confirmed by inferior vena cava angiography.Conclusion In this case,the patient had no history of hepatitis.Due to the stenosis of the inferior vena cava,the patient developed congestive cirrhosis,which in turn developed into hepatocellular carcinoma.Due to the complex and changeable clinical manifestations,there was no specificity.In the process of diagnosis and treatment,attention should be paid to the patient's past history and imaging data,so as to improve the level of diagnosis and treatment.
关键词
布加综合征/肝细胞癌破裂出血/淤血性肝硬化
Key words
Budd-Chiari syndrome/Hepatocellular carcinoma rupture and hemorrhage/Congestive cirrhosis
维普
万方数据