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Radionuclide venography as a clue to the diagnosis of Budd-Chiari syndrome

  • Eriko Tsukamoto
  • Kazuo Itoh
  • Hajime Ogawa
  • Hiroki Shirato
  • Nagara Tamaki
Case Report

Abstract

A patient was examined with radionuclide venography (RVG) to investigate unilateral leg oedema which might be due to deep vein thrombosis. RVG with Tc-99m MAA demonstrated no findings to suggest deep vein thrombosis of the right leg. However, collateral flow derived from the left common iliac vein and truncated inferior vena cava (IVC) were revealed. Contrast venography confirmed the obstruction of IVC and collateral flow from the left common iliac vein to the left ascending lumbar vein. It also showed the obstruction of hepatic veins and the patient was finally diagnosed as Budd-Chiari syndrome. Although unilateral leg oedema is an atypical symptom in Budd-Chiari syndrome, the findings on RVG led us to conduct further imaging studies to reach the diagnosis.

Key words

radionuclide venography Budd-Chiari syndrome inferior vena cava 

References

  1. 1.
    Hirooka M, Kimura C. Membranous obstruction of hepatic portion of inferior vena cava.Arc Surg 100: 656–663, 1970.Google Scholar
  2. 2.
    Hobbs KEF. Budd-Chiari syndrome.Lancet 339: 115–116, 1992.CrossRefPubMedGoogle Scholar
  3. 3.
    Chan P, Lee CY, Yang CY, Hung JS. Complete membranous obstruction of the inferior vena cava: clinical characteristics of Chinese patients.J Int Med 234: 504–505, 1993.Google Scholar
  4. 4.
    Orloff MJ, Orloff MS, Daily PO. Long-term results of Budd-Chiari syndrome with portal decompression.Arc Surg 127: 1182–1188, 1992.Google Scholar
  5. 5.
    Sy WM, Lao RS, Nissen A, Kim TS. Occlusion of inferior vena cava—features by radionuclide venography.J Nucl Med 19: 1007–1112, 1978.PubMedGoogle Scholar
  6. 6.
    Huang MJ, Liaw YF, Tsen KY. Radionuclide venography in Budd-Chiari syndrome with intrahepatic vena-caval obstruction.J Nucl Med 26: 145–148, 1985.PubMedGoogle Scholar
  7. 7.
    Koizumi M, Sekine M, Imaizumi S, Kawamura T, Iio A, Hamamoto K. RI venography membranous obliteration of the inferior vena cava in the hepatic portion.Jpn J Clin Radiol 29: 1419–1422, 1984.Google Scholar

Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • Eriko Tsukamoto
    • 1
  • Kazuo Itoh
    • 1
  • Hajime Ogawa
    • 2
  • Hiroki Shirato
    • 2
  • Nagara Tamaki
    • 1
  1. 1.Department of Nuclear MedicineHokkaido University School of MedicineSapporoJapan
  2. 2.Department of Radiologykaido University, School of MedicineJapan

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