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Endoscopy 1981; 13(4): 169-172
DOI: 10.1055/s-2007-1021675
© Georg Thieme Verlag KG Stuttgart · New York

On the Diagnosis of the Budd-Chiari Syndrome and Cardiac Cirrhosis

M. Mörl
  • Department of Gastroenterology (Medical Director: Priv.-Doz. Dr. M. Mörl) at the Hospital for Metabolic Disease of the LVA Württemberg, Bad Mergentheim
Dedicated to Prof. Demling on the occasion of his 60th birthday
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Publication Date:
17 March 2008 (online)

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Summary

The diagnostic procedure to be followed in cases of Budd-Chiari syndrome and cardiac cirrhosis cannot be schematized. Although laparoscopy and histology can point the diagnostician in the right direction, they are not decisive for the localization of the occlusions. In the presence of lumen-constricting processes, the representation of the hepatic veins has reached its limits. In this situation, laparoscopic transhepatic segmental venography or portography may help. Here, a report is presented on 5 cases with a variety of problems.

Key words:

Budd-Chiari syndrome - Cardiac cirrhosis - Aetiology - Angiography - Laparoscopy