E-ISSN 2149-9918
Case report
A rare route in a patient with Budd–Chiari syndrome: Transhepatic–pericardiacophrenic collaterals
1 Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, Ankara, Türkiye  
Turk Radyoloji Derg 2016; 35: 91-93
DOI: 10.5152/turkjradiol.2016.413
Key Words: Collateral, Budd–Chiari, pericardiacophrenic


Budd–Chiari syndrome is a heterogenous disease characterized by hepatic venous outlet obstruction at the level of hepatic venules or the inferior vena cava. New collateral veins drain blood from the obstructed inferior vena cava to the superior vena cava region. Pericardiacophrenic vein drains into the left brachiocephalic vein and has collaterals that anastomose with the inferior phrenic vein. This may provide collaterals in the obstruction of the superior vena cava. In this paper, we present multislice tomography findings of a dilated pericardiacophrenic vein mimicking multiple masses in the left paracardiac region as well as collaterals that extend from the subdiaphragmatic region to the left paracardiac area in a patient with Budd–Chiari syndrome.

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