A 34-year-old man was admitted to the hospital because of ascites, abdominal fullness. Computed tomography revealed inferior vena caval occlusion just above the hepatic vein and diagnosed as Budd-Chiari syndrome. Conservative medical therapy
failed
to
control the symptoms produced from both portal hypertension and vena caval stasis. Therefore, under extracorporeal circulation with moderate hypothermia and normal cardiac contraction, membranotomy and inferior vena cava venoplasty with
Gore-tex(10mm)
was performed. Postoperatively, physical examination revealed oral ulceration, subcutaneous thrombophlebitis, folliculitic lesions, uveitis and increased reactivity of the skin to needle punctures. 10 month later, superior vena cava obstruction
symptom
was found. Behcet's disease wasw diagnosed.
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