Hepatocellular carcinoma with Budd-Chiari syndrome due to membranous obstruction of the inferior vena cava with long-term follow-up: a case report

Membranous obstruction of the inferior vena cava (MOVC) is a rare subset of Budd-Chiari syndrome (BCS) with a subacute onset that is often complicated by cirrhosis and hepatocellular carcinoma (HCC). Here we report a case of recurrent HCC in a patient with cirrhosis and BCS that was treated with sev...

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Published in대한간암학회지 Vol. 22; no. 2; pp. 194 - 201
Main Authors Choong Hee Kim, Gwang Hyeon Choi, Hee Young Na, Chang Jin Yoon, Jai Young Cho, Sangmi Jang, Ji Hye Kim, Eun Sun Jang, Jin-wook Kim, Sook-hyang Jeong
Format Journal Article
LanguageKorean
Published 대한간암학회 15.09.2022
Subjects
Budd-Chiari syndrome
Carcinoma
Case report
Chemoembolization
hepatocellular
Membranous obstruction of inferior vena cava
therapeutic
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Summary:Membranous obstruction of the inferior vena cava (MOVC) is a rare subset of Budd-Chiari syndrome (BCS) with a subacute onset that is often complicated by cirrhosis and hepatocellular carcinoma (HCC). Here we report a case of recurrent HCC in a patient with cirrhosis and BCS that was treated with several episodes of transarterial chemoembolization followed by surgical tumorectomy, whereas the MOVC was successfully treated with balloon angioplasty followed by endovascular stenting. The patient was followed up for 9.9 years without anticoagulation and experienced no stent thrombosis. After the tumorectomy, the patient was HCC-free for 4.4 years of follow-up. (J Liver Cancer 2022;22:194-201)
Bibliography:Korean Liver Cancer Study Group
ISSN:2288-8128