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KMID : 1039320220220020194
Journal of Liver Cancer
2022 Volume.22 No. 2 p.194 ~ p.201
Hepatocellular carcinoma with Budd-Chiari syndrome due to membranous obstruction of the inferior vena cava with long-term follow-up: a case report
Kim Choong-Hee

Choi Gwang-Hyeon
Na Hee-Young
Yoon Chang-Jin
Cho Jai-Young
Jang Sang-Mi
Kim Ji-Hye
Jang Eun-Sun
Kim Jin-Wook
Jeong Sook-Hyang
Abstract
Membranous obstruction of the inferior vena cava (MOVC) is a rare subset of Budd-Chiari syndrome (BCS) with a subacute onset that is often complicated by cirrhosis and hepatocellular carcinoma (HCC). Here we report a case of recurrent HCC in a patient with cirrhosis and BCS that was treated with several episodes of transarterial chemoembolization followed by surgical tumorectomy, whereas the MOVC was successfully treated with balloon angioplasty followed by endovascular stenting. The patient was followed up for 9.9 years without anticoagulation and experienced no stent thrombosis. After the tumorectomy, the patient was HCC-free for 4.4 years of follow-up.
KEYWORD
Carcinoma, hepatocellular, Budd-Chiari syndrome, Membranous obstruction of inferior vena cava, Chemoembolization, therapeutic, Case report
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