Budd-Chiari Syndrome

Budd-Chiari Syndrome: Spectrum of Imaging Findings

http://www.ajronline.org/cgi/content/abstract/188/2/W168
Giuseppe Brancatelli 1,2,3 ; Valérie Vilgrain4 ; Michael P. Federle 3 ; Antoine Hakime 4 ; Roberto Lagalla 2 ; Riccardo Iannaccone 5 ; Dominique Valla 6

1 Sezione di Radiologia, Ospedale Specializzato in Gastroenterologia, Saverio de Bellis, IRCCS, Castellana Grotte, Italy.
2 Istituto di Radiologia, Università di Palermo, Via Villaermosa 29, 90139 Palermo, Italy.
3 Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA, 15213.
4 Service de Radiologie, Hopital Beaujon, Clichy 92118, France.
5 Istituto di Radiologia, Università di Roma La Sapienza, Policlinico Umberto I, Roma 00161, Italy.
6 Service de Hepatologie, Hopital Beaujon, Clichy 92118, France.

OBJECTIVE: The objective of our study was to illustrate the imaging findings of Budd-Chiari syndrome, including CT, MRI, sonographic, and angiographic findings.

CONCLUSION: The key imaging findings in Budd-Chiari syndrome are occlusion of the hepatic veins, inferior vena cava, or both; caudate lobe enlargement; inhomogeneous liver enhancement; and the presence of intrahepatic collateral vessels and hypervascular nodules. Awareness of these findings is important for early diagnosis and appropriate treatment.