Case 1:

Case 2:

Case report: 37-year-old female patient, diagnosed with Budd-Chiari syndrome 03/25 externally, etiology unclear. Medical history: Crohn’s disease, HELLP syndrome (2022 during 2nd pregnancy). Sonographic findings upon admission show hepatomegaly with a rounded  lower liver edge and hypertrophic caudate lobe and perihepatic ascites. The three hepatic veins are almost completely occluded (partially obliterated), intrahepatic venous collateralization through the hypertrophic caudate lobe  to the inferior vena cava. The overall ultrasound imgae is consistent with chronic Budd-Chiari syndrome. Reduced portal vein flow before TIPSS placement with a maximum velocity of 13 cm/s. After successful TIPSS placement, the portal vein flow velocity increased to 40.6 cm/s.

Examination before TIPSS-placement:

Follow-up after TIPSS-placement:

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Verschluss der rechten Lebervene (im Bild mit Pfeilen markiert) bei Budd-Chiari-Syndrom

Verschluss der rechten Lebervene (im Bild mit Pfeilen markiert) bei Budd-Chiari-Syndrom im Farbdoppler

Reaktiv vergrößerter Lobus caudatus bei Budd-Chiari-Syndrom

Perihepatischer Aszites bei Budd-Chiari-Syndrom

Reaktiv verstärkte Perfusion über die, den Lobus caudatus drainierende, Venen bei Budd-Chiari-Syndrom

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