Open AccessRescue from liver transplantation: TIPSS and thrombectomy successfully treat a case of acute Budd–Chiari syndrome complicated by portal vein thrombosis
Author(s) -
Sarah Townsend,
Salil Karkhanis,
Dhiraj Tripathi,
P. Mueisan,
Zahra Zia,
Ahmed M. Elsharkawy
Publication year - 2017
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20160059
Subject(s) - medicine , budd–chiari syndrome , transjugular intrahepatic portosystemic shunt , liver transplantation , portal vein thrombosis , fulminant , surgery , thrombosis , portal hypertension , transplantation , radiology , cirrhosis , inferior vena cava
We report the rare case of a female who presented with fulminant liver failure secondary to acute Budd–Chiari syndrome and complete portal vein thrombosis. She met the criterion for liver transplant and was transferred to our care for assessment and further management. Transplant was deemed a too-high risk and so rescue therapy was undertaken using mechanical thrombectomy and transjugular intrahepatic portosystemic shunt insertion to decompress the portal system. The patient made a full recovery. This is a rare case report of a patient meeting liver transplant criteria secondary to acute Budd–Chiari syndrome and complete portal vein thrombosis, which was managed successfully entirely by radiological means; this technique could be used to avoid or act as a bridge to liver transplantation in the future.