Hepatic amyloidosis leading to hepatic venular occlusive disease and Budd-Chiari syndrome: A case report  

作　　者：Ting-Ting Li Yi-Fan Wu Fu-Quan Liu Fu-Liang He 

机构地区：[1]Department of Interventional Therapy,Beijing Shijitan Hospital, Capital Medical University, The 9th Affiliated Hospital of Peking University

出　　处：《World Journal of Clinical Cases》2019年第20期3282-3288,共7页世界临床病例杂志

摘　　要：BACKGROUND Systemic amyloidosis in which multiple systems can be involved has become a common clinical disease.When the liver is affected,symptoms such as abdominal distension,fatigue,edema,liver,and jaundice could appear.To date,hepatic amyloidosis combined with hepatic venular occlusive disease and Budd-Chiari syndrome has not been reported.CASE SUMMARY A 54-year-old female patient was admitted to the Beijing Shijitan Hospital with hepatic amyloidosis leading to hepatic venular occlusion and Budd-Chiari syndrome in 2018.The patient underwent surgery 1 mo previously for liver rupture and hemorrhage after Budd-Chiari syndrome was diagnosed.She was diagnosed with hepatic venular occlusion,liver amyloidosis,and Budd-Chiari syndrome(i.e.extensive hepatic vein occlusion).Transjugular intrahepatic portosystem shunt was performed.After the treatment,the clinical symptoms improved markedly with increase in urine volume.CONCLUSION Hepatic amyloidosis with hepatic venous occlusion and Budd-Chiari syndrome is relatively rare clinically,and transjugular intrahepatic portosystem shunt is an effective treatment for this disease.BACKGROUND Systemic amyloidosis in which multiple systems can be involved has become a common clinical disease. When the liver is affected, symptoms such as abdominal distension, fatigue, edema, liver, and jaundice could appear. To date, hepatic amyloidosis combined with hepatic venular occlusive disease and Budd-Chiari syndrome has not been reported.CASE SUMMARY A 54-year-old female patient was admitted to the Beijing Shijitan Hospital with hepatic amyloidosis leading to hepatic venular occlusion and Budd-Chiari syndrome in 2018. The patient underwent surgery 1 mo previously for liver rupture and hemorrhage after Budd-Chiari syndrome was diagnosed. She was diagnosed with hepatic venular occlusion, liver amyloidosis, and Budd-Chiari syndrome(i.e. extensive hepatic vein occlusion). Transjugular intrahepatic portosystem shunt was performed. After the treatment, the clinical symptoms improved markedly with increase in urine volume.CONCLUSION Hepatic amyloidosis with hepatic venous occlusion and Budd-Chiari syndrome is relatively rare clinically, and transjugular intrahepatic portosystem shunt is an effective treatment for this disease.

关 键 词：HEPATIC venular OCCLUSION Liver AMYLOIDOSIS BUDD-CHIARI syndrome PORTAL hypertension Case report 

分 类 号：R57[医药卫生—消化系统]