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Case Reports
. 1976 Sep 6;236(10):1142-3.

Liver transplantation of Budd-Chiari syndrome

Case Reports

Liver transplantation of Budd-Chiari syndrome

C W Putnam et al. JAMA. .

Abstract

Orthotopic liver transplantation was accomplished in a 22-year-old woman dying of the Budd-Chiari syndrome. She is well and has normal liver function 16 months postoperatively. In view of the good early result, it will be appropriate to consider liver replacement for this disease in further well-selected cases.

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Figures

Fig 1
Fig 1
Inferior venacavogram showing tapering and stenosis (larger arrow) of inferior vena cava below site of entry of right and left hepatic veins. Small arrows indlcate approximate levels of eventual upper and lower vena caval anastomoses.
Fig 2
Fig 2
Features of diseased native liver. Left, Medium-slzed hepatic vein (HV) occluded by Qrganized and recanalized thrombus. Middle, Liver lobule with occlusion of central vein (arrow), loss of all hepatocytes except those adjacent to portal tracts, and dilation of sinusolds. Right, Regeneration nodule (RN) adjacent to portal tract; central vein (arrow) is occluded (Silver stain for reticulin counterstained with neutral red, × 20).

References

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    1. Tavill AS, Wood EJ, Kreel L, et al. The Budd-Chiari syndrome: Correlation between hepatic scintigraphy and the clinical, radiological, and pathological findings in nineteen cases of hepatic venous outflow obstruction. Gastroenterology. 1975;68:509–518. - PubMed
    1. Langer B, Stone RM, Colapinto RF, et al. Clinical spectrum of the Budd-Chiari syndrome and its snrgical management. Am J Surg. 1975;129:137–145. - PubMed

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