Budd-Chiari syndrome due to right hepatic lobe herniation: CT image findings of two rare clinical conditions.
BJR Case Rep 2017;
3:20160133. [PMID:
30363244 PMCID:
PMC6159189 DOI:
10.1259/bjrcr.20160133]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2016] [Revised: 12/20/2016] [Accepted: 01/12/2017] [Indexed: 12/27/2022] Open
Abstract
Hepatic herniation is a rare clinical condition. Most commonly it is associated with congenital diaphragmatic herniation or acquired through blunt diaphragmatic trauma. We present a case of a right hepatic lobe incisional hernia in a 75-year-old female who underwent partial right-sided nephrectomy 52 years previously. Evidence of partial Budd-Chiari syndrome was seen on CT scan that was presumed to be as a result of traction of the herniated liver. As far as we are aware this is the first case of a right-sided hepatic hernia with evidence of partial Budd-Chiari syndrome. The patient was treated conservatively with anticoagulation and analgesia.
Collapse