Transjugular intrahepatic portosystemic shunt for severe jaundice in patients with acute Budd-Chiari syndrome

Figure 1 Abdominal computed tomography. A and B: Enlargement, congestion and geographic change of the liver were noted.

Figure 2 Transjugular intrahepatic portosystemic shunt. A: Angiography revealed occluded hepatic venules; B: A guide wire was placed into the portal vein from the inferior vena cava and the varicose gastric coronary vein was noted by angiography of the portal vein; C: Transjugular intrahepatic portosystemic shunt was formed and the gastric coronary vein was embolized.

Figure 3 Coronal scans of magnetic resonance imaging of the portal vein and abdominal computed tomography of the same patient. A and B: Magnetic resonance imaging of the portal vein and abdominal computed tomography revealed liver congestion and massive ascites before transjugular intrahepatic portosystemic shunt; C: Liver congestion and ascites disappeared 4 wk after the procedure.