J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1612KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 91(2): 290-292, 1990

Case report

MEMBRANOUS OBLITERATION OF THE INFERIOR VENA CAVA IN THE HEPATIC PORTION
ーPOSTMORTEM STUDY OF A RAPIDLY DETERIORATED AGED CASEー

Department of Surgery and Cardiovascular Surgery, Minamikyushu Chuou National Hospital, Kagoshima, Japan
*) The First Department of Pathology, Kagoshima University School of Medicine, Kagoshima, Japan

Ryohei Ishibe, Minae Maruko, Denjiro Tabata, Hitoshi Toyohira, Koji Furuzono, Akihiro Nishimura, Aichi Yoshida*)

A 67-year-old female of Budd-Chiari syndrome was rapidly deteriorated and died. Autopsy revealed membranous obiliteration of the inferior vena cava in the hepatic portion with a small hole. The inferior vena cava and right hepatic vein contained fresh and organized thrombi. The left hepatic vein was patent and opened above the membrane.
The onset and the clinical course of this case seem to be atypical, probably because of the patent left hepatic vein and a small hole of the membrane. We call attention such a rare case in managing Budd-Chiari syndrome.

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