Multimodality Correlation in Chronic Budd-Chiari Syndrome in a Young Female with Co-Presentation of Hepatocellular Carcinoma Volume 6 - Issue 1

Bhumika Dua, Rajaram Sharma*, Tapendra Tiwari and Saurabh Goyal

• Pacific institute of medical sciences, Umarda, Udaipur, India

Received: November 19, 2021   Published: December 7, 2021

*Corresponding author: Rajaram Sharma, Pacific Institute of Medical Sciences, Rajasthan, India

DOI: 10.32474/LOJMS.2021.06.000228

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Abstract

Budd-Chiari Syndrome (BCS) is an amalgam of pathologies causing hepatic blood outflow obstruction. Long-standing cases of BCS could lead to fibrosis and the development of Hepatocellular Carcinoma (HCC) subsequently. BCS encompasses a wide range of imaging findings ranging from hepatomegaly, ascites, splenomegaly, presence of veno-venous collaterals, thrombus in hepatic vein, compression of IVC, regenerative nodules, nutmeg appearance of the liver and hepatocellular carcinoma in long-standing cases. Our patient presented with complaints of abdominal pain, distension and jaundice. She also had hepatocellular carcinoma, which is a rare co-presentation at such a young age. Triple phase Contrast-enhanced Computerized Tomography (CECT) and Magnetic Resonance Imaging (MRI) proved to be beneficial in supplementing the final diagnosis of BCS and HCC both.

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