Severe polycystic liver disease: An unsual cause of chronic Budd-Chiari Syndrome
- 29 October 2022
- journal article
- Published by Peertechz Publications Private Limited in Archives of Clinical Gastroenterology
- Vol. 8 (3), 052-054
- https://doi.org/10.17352/2455-2283.000113
Abstract
Autosomal dominant polycystic kidney disease is a hereditary disease, characterized by the development of cysts in the renal parenchyma with extra-renal manifestations. Liver damage is rarely a source of complications. A Budd-Chiari syndrome could occur following the compression of the supra-hepatic veins by the cysts. It is an exceptional mechanical complication. We present a case of a 54 year old woman, with a diagnostic of an asymptomatic autosomal dominat polycystic kidney disease since childhood was admitted to our hospital due to significantly increased abdominal girth. The physical examination showed grade III ascites. A paracentesis for relief at admission disclosed an exudative fluid. A abdominal computed tomographic scan showed multiples cystic lesions in the kidneys and liver, with a large hepatic cyst responsible for compression of the suprahepatic veins and the inferior vena cava resulting in chronic Budd-Chiari syndrome. The treatment was radiological drainage followed by percutaneous sclerosis of cysts to alleviation of the compression. Unfortunately, the patient died a few days after an intraperitoneal cystic rupture.Keywords
This publication has 22 references indexed in Scilit:
- Evaluating health‐related quality of life in patients with polycystic liver disease and determining the impact of symptoms and liver volumeLiver International, 2013
- Isolated Polycystic Liver DiseaseAdvances in Chronic Kidney Disease, 2010
- Surgical management and longterm follow-up of non-parasitic hepatic cystsHPB, 2009
- Liver transplantation in polycystic liver disease: A relevant treatment modality for adults?Scandinavian Journal of Gastroenterology, 2008
- Polycystic liver: clinical characteristics of patients with isolated polycystic liver disease compared with patients with polycystic liver and autosomal dominant polycystic kidney diseaseLiver International, 2007
- Liver and Kidney Transplantation for Polycystic Liver and Kidney-Renal Function and OutcomeTransplantation, 2006
- Liver transplantation for adult polycystic liver diseaseJournal of Hepatology, 1998
- Ascites in a polycystic patientNephrology Dialysis Transplantation, 1997
- Budd-Chiari Syndrome in Autosomal Dominant Polycystic Kidney Disease: A Complication of Nephrectomy in Patients With Liver CystsAmerican Journal of Kidney Diseases, 1993
- Esophageal Varices in Adult Patients with Polycystic Kidney and Liver DiseaseThe New England Journal of Medicine, 1973