Budd-Chiari syndrome associated with liver cirrhosis: A case report

Figure 1 Imaging findings of Budd-Chiari syndrome with membranous obstruction of the inferior vena cava. A: Magnetic resonance imaging (MRI) showed caudate lobe hypertrophy, cirrhosis, and dilated lumbar vein and hemiazygos veins on June 13, 2018; B: MRI revealed dilated azygos veins and narrowed inferior vena cava (IVC) on June 13, 2018; C: Venography of hepatic veins and IVC revealed complete occlusion of the IVC with the formation of numerous collateral branches on June 19, 2018; D: Balloon angioplasty was performed to recanalize the obstructed IVC on June 19, 2018; E: MRI revealed hepatic vein stenosis with ectopic tissue 3 mo after balloon angioplasty; F and G: Before and after balloon angioplasty of the IVC; H: Six months after balloon angioplasty, MRI revealed that dilation of the lumbar and hemiazygos veins and caudate lobe hypertrophy were improved.

Figure 2 Liver biopsy sample. A: Hepatocyte degeneration, and sinusoidal dilatation (hematoxylin-eosin stain, × 100); B: Bridging fibrosis, areas of fibrous tissue with substantial hyperplasia (Masson trichrome stain, × 100).