A case of Budd-Chiari syndrome (BCS), due to hepatic venous blockage, was initially misinterpreted on CT and ultrasonography (US) as an infiltrating mass of the liver. The irregular enlargement on US and the irregular enhancement with large hypodense areas on CT were believed to be due to an infiltrating mass. US-guided biopsy suggested BCS by showing central liver congestion without any signs of tumor growth. The diagnosis was confirmed by hepatic venography demonstrating collateral veins with a typical spiderweb appearance. BCS is a rare, often lethal, condition and in order to reach an early and accurate diagnosis it is essential to be aware of the syndrome.
BeckerC. D.ScheideggerJ.MarincekB.: Hepatic vein occlusion. Morphologic features on computed tomography and ultrasonography. Gastrointest. Radiol.11 (1986), 305.
2.
BolondiL.GaianiS.BassiS. L.: Changes in the hepatic vein waveform detected by Doppler US in liver cirrhosis. J. Hepatol.9 (Suppl) (1989), 117.
3.
BolondiL.GaianiS.BassiS. L.: Diagnosis of Budd-Chiari syndrome by pulsed Doppler ultrasound. Gastroenterology100 (1991), 1324.
4.
GuptaS.BarterS.PhillipsG. W. L.GibsonR. N.HodgsonH. J. F.: Comparison of ultrasonography, computed tomography and 99mTc liver scan in diagnosis of Budd-Chiari syndrome. Gut28 (1987), 242.
5.
JonesR. J.LeeK. S.BeschornerW. E.: Venoocclusive disease of the liver following bone marrow transplantation. Transplantation44 (1987), 778.
6.
KleinA. S.CameronJ. L.: Diagnosis and management of the Budd-Chiari syndrome. Am. J. Surg.160 (1990), 128.
StarkD. D.HahnP. F.TreyC.ClouseM. E.FerrucciJ. T.: MRI of the Budd-Chiari syndrome. AJR146 (1986), 1141.
10.
Van BeersB.PringotJ.TrigauxJ. P.: Hepatic heterogeneity on CT in Budd-Chiari syndrome. Correlation with regional disturbances in portal flow. Gastrointest. Radiol.13 (1988), 61.
